Keller Chad A, Dudley Rebecca M, Huycke Elizabeth M, Chow Richard B, Ali Arjumand
Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103, USA.
Lehigh Valley Health Network, Department of General Surgery, USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103, USA.
Radiol Case Rep. 2022 May 13;17(7):2534-2536. doi: 10.1016/j.radcr.2022.04.034. eCollection 2022 Jul.
Stump appendicitis is a rare and late complication following appendectomy and can often be overlooked. Our case details a 42-year-old male who presented to the Emergency Department with right-sided lower abdominal pain, nausea, and vomiting. A computed tomography scan of his abdomen and pelvis demonstrated a tubular, fluid-filled structure with surrounding inflammatory changes at the level of the patient's appendectomy clips with a 2.3-cm calcified intraluminal stone. Findings were concerning for stump appendicitis with appendicolith. He was admitted and taken to the operating room for a laparoscopic stump appendectomy. Stump appendicitis should always be considered in the differential diagnosis to prevent potentially serious complications.
阑尾残株炎是阑尾切除术后一种罕见的晚期并发症，常易被忽视。我们的病例详细介绍了一名42岁男性，他因右下腹痛、恶心和呕吐就诊于急诊科。其腹部和骨盆的计算机断层扫描显示，在患者阑尾切除夹的水平处有一个管状、充满液体的结构，周围有炎症变化，腔内有一个2.3厘米的钙化结石。这些发现提示为伴有阑尾结石的阑尾残株炎。他被收治入院并被送往手术室进行腹腔镜阑尾残株切除术。在鉴别诊断中应始终考虑阑尾残株炎，以防止潜在的严重并发症。
