Appendicitis again?

Rut Fernández Martín^a, Andoni Azcona Pereda^b, Iván Carabaño Aguado^a, Cecilia Moreno Zegarra^c

^aSección de Gastroenterología, Hepatología y Nutrición Infantil. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
^bSección de Radiodiagnóstico Infantil. Servicio de Radiodiagnóstico. Hospital Universitario 12 de Octubre. Madrid. España.
^cSección de Cirugía General Infantil. Hospital Universitario 12 de Octubre. Madrid. España.

Correspondence: R Fernández. E-mail: rut.fernandez98@gmail.com

Reference of this article: Fernández Martín R, Azcona Pereda A, Carabaño Aguado I, Moreno Zegarra C. Appendicitis again? . Rev Pediatr Aten Primaria. 2024;26:[en prensa].

Published in Internet: 13-11-2024 - Visits: 310

Abstract

Stump appendicitis is a rare entity, characterised by an inflammatory process of the residual appendix after an incomplete appendectomy. The symptoms of this pathology are indistinguishable from those of primary appendicitis. It is vitally important to include it in the differential diagnosis of the patient with right lower abdominal pain and a history of previous appendectomy to avoid associated morbidity and mortality. Ultrasonography and computed tomography are the imaging tests of choice, the last one having greater sensitivity. The treatment of choice is complete appendectomy, either by open surgery or laparoscopically.

Keywords

● Appendectomy ● Appendicitis ● Appendicular stump

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