Burbano Daniela, García Alberto Federico, Chica Yantén Julián, Salazar Camilo, Toro Juan Sebastian, Bravo Juan Carlos
School of Medicine, Universidad ICESI, Calle 18 No. 122-135, Carrera 98 No. 18-49, Cali, Colombia.
School of Medicine, Universidad ICESI, Calle 18 No. 122-135, Carrera 98 No. 18-49, Cali, Colombia; Center for Clinical Research (CIC), Fundación Valle del Lili, Carrera 98 No.18-49, Torre 7, Piso 3 (CIC), Cali, Colombia; Department of Surgery, Fundación Valle del Lili, Carrera 98 No. 18-49, Cali, Colombia.
Int J Surg Case Rep. 2020;68:88-91. doi: 10.1016/j.ijscr.2020.02.016. Epub 2020 Feb 11.
Acute appendicitis (AA) is the most common cause of acute surgical abdomen. Complications from surgical appendectomy include intraabdominal abscess, bleeding, surgical site infections, ileus, and stump appendicitis (SA). This last one is one of the least common ones with a reported incidence of 1:50.000.
We present a case and review 132 cases of SA reported in the literature. Demographic and clinical characteristics were evaluated, as well as details of the surgical treatment. Categorical variables are presented as quantities and proportions, and continuous variables with median and interquartile range. Additionally, we calculate an incidence from 3 papers reported in the literature and our own.
We analyzed 132 cases, 60.3 % were male with a median age at SA of 33 years. There was a wide range time interval between the episode of AA and SA from 1 day to 60 years. Initial open appendectomy was reported in 62 cases. From all the patients with SA 51 % reported complications. The median length of the appendiceal stump was 3 cm. The incidence of SA fluctuated between 0.22-1.37 in 1.000 cases of appendectomies.
SA is usually underrated, and which are the risk factors for this condition are not clear. The data available suggest that a primary laparoscopic appendectomy is not related to SA, but the length of the stump left in the first surgery might be associated. The incidence of SA seems to be higher than the one reported of 1 in 50.000.
急性阑尾炎（AA）是急性外科急腹症最常见的病因。手术切除阑尾的并发症包括腹腔内脓肿、出血、手术部位感染、肠梗阻和阑尾残株炎（SA）。最后一种是最不常见的并发症之一，报告发病率为1:50000。
我们报告一例病例，并回顾文献中报道的132例阑尾残株炎病例。评估了人口统计学和临床特征以及手术治疗细节。分类变量以数量和比例表示，连续变量以中位数和四分位间距表示。此外，我们根据文献和我们自己报道的3篇论文计算发病率。
我们分析了132例病例，60.3%为男性，阑尾残株炎的中位年龄为33岁。急性阑尾炎发作与阑尾残株炎之间的时间间隔范围很广，从1天到60年不等。62例报告最初行开放式阑尾切除术。在所有阑尾残株炎患者中，51%报告有并发症。阑尾残株的中位长度为3厘米。在1000例阑尾切除术中，阑尾残株炎的发病率在0.22 - 1.37之间波动。
阑尾残株炎通常被低估，且这种情况的危险因素尚不清楚。现有数据表明，初次腹腔镜阑尾切除术与阑尾残株炎无关，但首次手术中留下的残株长度可能与之相关。阑尾残株炎的发病率似乎高于报告的1/50000。
