Stump appendicitis. A diagnostic dilemma
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- Al-Dabbagh, A.K., Thomas, N.B. & Haboubi, N. Tech Coloproctol (2009) 13: 73. doi:10.1007/s10151-008-0419-5
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A case of stump appendicitis in a 41-year-old man is presented. Initial appendicectomy for suppurative appendicitis had been performed 14 months earlier. An ultrasound scan suggested the diagnosis of stump appendicitis despite the hindsight of previous appendicectomy. A literature review on the subject is provided. Stump appendicitis should be considered in the differential diagnosis of recurrent lower abdominal symptoms any time following initial appendicectomy. Knowledge of a difficult approach at initial surgery may raise the level of suspicion.