World Journal of Laparoscopic Surgery

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VOLUME 16 , ISSUE 1 ( January-April, 2023 ) > List of Articles


An Early Presentation of Stump Appendicitis Following Laparoscopic Appendectomy: A Rare Diegesis

Banabihari Mishra, Jyotirmaya Nayak, Parikshita Dalai, Ashish Kumar Behera, Pratyush Kashyap Panda

Keywords : Appendectomy, Appendicitis, Case report, Laparoscopic, Stump appendicitis

Citation Information : Mishra B, Nayak J, Dalai P, Behera AK, Panda PK. An Early Presentation of Stump Appendicitis Following Laparoscopic Appendectomy: A Rare Diegesis. World J Lap Surg 2023; 16 (1):47-48.

DOI: 10.5005/jp-journals-10033-1545

License: CC BY-NC 4.0

Published Online: 05-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Laparoscopic appendectomy is now the standard surgery of choice for acute and recurrent appendicitis. Development of stump appendicitis after 3 days of laparoscopic appendectomy is a very rare incidence. Presenting a case report of a 19-year-old male who underwent laparoscopic appendectomy for acute appendicitis, and on postoperative day 4, developed sudden onset of high-grade fever, pain over the right iliac fossa, vomiting, localized features of peritonitis, and raised total leukocyte count (TLC). On contrast-enhanced computed tomography (CECT), abdomen and pelvis revealed stump appendicitis with minimal pelvic collection. The patient underwent exploratory laparotomy, and a stump of size 1.5 cm was found with features of inflammation and surrounding minimal adhesion. A stump appendectomy was done. Stump appendicitis presentation immediately after appendectomy is very uncommon. Though the incidence of stump appendicitis is rare but should be kept as a differential diagnosis in a previously operated appendectomy patient. Awareness of such cases initiates early diagnosis and advocates proper intervention at the right time to prevent unnecessary morbidity and mortality.

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