Chikamori Fumio, Kuniyoshi Nobutoshi, Shibuya Susumu, Takase Yasuhiro
Department of Surgery, Kuniyoshi Hospital, Kochi, Japan.
Surg Today. 2002;32(10):919-21. doi: 10.1007/s005950200182.
We report the case of an appendiceal stump abscess that was treated by relaparoscopy 4 days after a laparoscopic appendectomy (LA). Surgeons should be aware of the possibility of appendiceal stump abscess occurring as an early complication of LA. When performing LA, the appendiceal stump should be as short as possible, and the ligation of the root of the appendix should be only moderately tight, so as not to cause ischemic change of the stump, indicated by discoloration or edema. The insertion of a drain for monitoring exudate, as well as sonography, and relaparoscopy are helpful for diagnosing and treating this complication.
