An Analysis of a Series of Patients of stump Appendicitis in a Tertiary Care Centre.

Abstract

Introduction:

Appendicitis is a very common surgical procedure done all over the world. It is a disturbing factor for   the patient and the surgeon that the patient   comes back to the surgeon with features of appendicitis after appendicectomy. We have tried to see the clinical profile   of such patients and outcome after the second surgery.

Material and   Methods:

It is a retrospective study. We included only the patients after appendicectomy who  had come back with recurrent symptoms and were diagnosed as stump   appendicitis.  No age criterion was there. We traced the record   for 9 years   from sept 2013 to sept 2022. All the clinical features and all labs, radiological features, were analysed.

Results:

We found that out we had  5 patients of stump   appendicitis. All of them were adults. There was none from pediatric age group. There were 3 males 3  and only 2 were females. The stump was invariably more than 1.5cm long   in all of them. CRP was raised in all of them. Perforated ones were less in number than nonperforated. More patients had been   done by open method for the primary appendicectomy .

Conclusion:

This rare entity has to be kept in mind in evaluating Right Iliac Fossa pain(even after appendicectomy) and   a long  stump should not be left   during   appendicectomy.

Keywords: Stump Appendicitis, Completion   Appendicectomy, Length of Stump