Ismail Ismail, Iusco Domenico, Jannaci Marcello, Navarra Giuseppe Giovanni, Grassi Antonio, Bonomi Serena, Parpanesi Roberta, Giombi Andrea, Virzì Salvatore
Surgical Division, AUSL Bologna, Ospedale di Bentivoglio, Via Marconi 35, 40010 Bentivoglio (Bologna), Italy.
Cases J. 2009 Jul 9;2:7415. doi: 10.4076/1757-1626-2-7415.
Stump appendicitis is a rare complication of appendectomy due to recurrent inflammation of the residual appendix. The diagnosis is often delayed due to low index of suspicious, which may result in serious complications.
We describe a case of stump appendicitis occurred 12 months after appendectomy in 25 years old man. Despite past medical history of appendectomy the diagnosis was made by means of ultrasound scan and an high degree of clinical suspicion.
Stump appendicitis is a rare but important complication of appendectomy, often misdiagnosed. Prompt recognition is important to avoid serious complications. This pathologic entity should always be kept in mind on case of right lower quadrant pain.
残端阑尾炎是阑尾切除术后因残留阑尾反复炎症引起的一种罕见并发症。由于可疑指数低,诊断往往延迟,这可能导致严重并发症。
我们描述了一例25岁男性阑尾切除术后12个月发生残端阑尾炎的病例。尽管有阑尾切除术病史,但通过超声扫描和高度的临床怀疑做出了诊断。
残端阑尾炎是阑尾切除术后一种罕见但重要的并发症,常被误诊。及时识别对于避免严重并发症很重要。在右下象限疼痛的病例中应始终牢记这一病理实体。