Baek Seong Kyu, Kim Mi Sun, Kim Yong Hoon, Chung Woo Jin, Kwon Jung Hyeok
Department of Surgery, Keimyung University College of Medicine, Daegu, Korea.
Korean J Gastroenterol. 2008 Jan;51(1):45-7.
Stump appendicitis is an acute inflammation of the residual appendix and a rare complication after an appendectomy. Although the signs and symptoms do not differ from acute appendicitis, the diagnosis is often not considered because of the past surgical history. Only a small number of stump appendicitis cases have been reported, but there has been no report of stump appendicitis in Korea. Herein, we report a case of stump appendicitis. A 28-year-old female was admitted to our hospital due to right lower quadrant abdominal pain. Fifteen months ago, the patient had a laparoscopic appendectomy under the diagnosis of an acute appendicitis, but she subsequently suffered from intermittent abdominal pain and fever. Abdominal ultrasonography and CT scan showed an inflamed appendiceal stump. Laparoscopic stump appendectomy was done and the biopsy revealed stump appendicitis.
阑尾残株炎是阑尾残端的急性炎症,是阑尾切除术后罕见的并发症。虽然其体征和症状与急性阑尾炎并无不同,但由于既往手术史,往往不会考虑到该诊断。仅有少数阑尾残株炎病例被报道,而韩国尚无相关报道。在此,我们报告一例阑尾残株炎病例。一名28岁女性因右下腹疼痛入院。15个月前,该患者因急性阑尾炎诊断接受了腹腔镜阑尾切除术,但随后出现间歇性腹痛和发热。腹部超声和CT扫描显示阑尾残端发炎。遂行腹腔镜阑尾残株切除术,活检显示为阑尾残株炎。