A 60-year literature review of stump appendicitis: the need for a critical view
- 作者：Anuradha Subramanian ; M.D. ; Mike K. Liang ; M.D. ; ml3@bcm.edu
- 关键词：Stump appendicitis ; Retained appendix ; Appendicitis ; Perforated appendicitis ; Complicated appendicitis ; Recurrent appendicitis
- 刊名：The American Journal of Surgery
- 出版年：2012
- 期刊代码：9_00029610
- 类别：med
- 出版时间：April, 2012
- 卷：203
- 期：4
- 页码：503-507
- 文件大小：670 K
摘要
Background
Stump appendicitis is an underreported and poorly defined condition. It is the development of obstruction and inflammation of the residual appendix after appendectomy. This is a review of the basic clinical, pathological, and surgical significance of stump appendicitis, and the 鈥渃ritical view鈥?required for prevention.Data sources
PubMed MEDLINE search was performed using terms 鈥渟tump appendicitis鈥?and 鈥渞etained appendix鈥?to obtain reported cases of stump appendicitis. Sixty-one cases were identified. Each case was charted based on 14 variables. Data were analyzed.
Conclusions
Stump appendicitis warrants early detection. Patients can present with abdominal pain, nausea, and vomiting. A prior history of appendectomy can delay the diagnosis. A diagnosis can be made with an abdominal ultrasound or computed tomography scan. If treated early, laparoscopic or open completion appendectomy can be performed. If diagnosis is delayed and perforation is found, extensive resection is often required. A 鈥渃ritical view,鈥?as described in this article, is key for prevention.