| CASE REPORT |
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| Year : 2019 | Volume
: 60
| Issue : 2 | Page : 92-94 |
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Stump appendicitis due to retained fecalith after laparoscopic surgery
Olanrewaju Samuel Balogun, Adedapo O Osinowo, Ayomide A Makanjuola, Samuel O Nwokocha
Department of Surgery, General Surgery Unit, University of Lagos, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria
Correspondence Address:
Dr. Olanrewaju Samuel Balogun
Department of Surgery, General Surgery Unit, University of Lagos, Lagos University Teaching Hospital, Idi-Araba, Lagos
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/nmj.NMJ_39_19
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Stump appendicitis is a rare cause of right iliac fossa pain in patients with a previous history of appendectomy for acute appendicitis. The presentation is often delayed and may pose a clinical diagnostic challenge to the surgeon. More often, a high index of suspicion backed with relevant radiologic investigations is required for diagnosis. Open and laparoscopic appendectomy may be complicated by stump appendicitis. We report our experience in a 49-year-old Nigerian who presented to us with recurrent right iliac fossa pain and abdominal distension of 2 weeks' duration. The patient had laparoscopic appendectomy 1 year prior to presentation to us. A diagnosis of stump appendicitis with small-bowel obstruction was made with an abdominal computed tomography scan. He had an open stump appendectomy and small-bowel adhesiolysis with a good postoperative outcome.
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