Stump appendicitis 10 years after appendectomy, a rare, but serious complication of appendectomy, a case report
| Autor: | Filip Haenen, Carl Van Paesschen, Marc Van Cleemput, Raymond Bestman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
Adult Male medicine.medical_specialty Abdominal pain Abdominal Abscess Time Factors medicine.medical_treatment Iliac fossa 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Appendectomy Humans Laparoscopy Abscess medicine.diagnostic_test business.industry General surgery General Medicine medicine.disease Appendicitis Surgery body regions medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Human medicine medicine.symptom business Abdominal surgery |
| Zdroj: | Acta chirurgica Belgica |
| ISSN: | 0001-5458 |
| Popis: | We describe a case of stump appendicitis with the formation of abdominal abscesses in a 41-year-old patient 10 years prior appendectomy. The patient consulted with fever (38.1 degrees C) and abdominal pain, located at the right iliac fossa. Imaging studies showed signs of abscesses, located at the right iliac fossa, without clear origin of these abscesses. The abscesses were drained through diagnostic laparoscopy, no bowel perforation or clear origin of the abscedation was found during laparoscopy. During postoperative stay, the inflammatory parameters rose and the abscesses reoccurred. Re-laparoscopy was performed, the abscesses were drained and on careful inspection and adhesiolysis, a perforated stump appendicitis was revealed, covered underneath layers of fibrous tissue. Stump appendicitis is a rare complication seen after appendectomy and is generally not considered a possible etiology in patients presenting with fever and right iliac fossa abdominal pain with a history of appendectomy. This often delays the correct diagnosis and results in an associated increased incidence of complications. We describe a case of stump appendicitis occurring 10 years after initial appendectomy. |
| Databáze: | OpenAIRE |
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