PDF herunterladen
Z Gastroenterol 2009; 47(9): 819-821
DOI: 10.1055/s-0028-1109422
Kasuistik

© Karl Demeter Verlag im Georg Thieme Verlag KG Stuttgart · New York

Unusual right upper quadrant Stump Appendicitis

Ungewöhnlicher Fall einer StumpfappendizitisC.-T. Lin1 , S.-M. Kuo2 , C.-C. Wu3 , S.-W. Jao3
  • 1Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  • 2Division of Pediatric Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  • 3Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Weitere Informationen

Publikationsverlauf

manuscript received: 8.1.2009

manuscript accepted: 8.4.2009

Publikationsdatum:
11. September 2009 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Zusammenfassung

Bei Patienten mit Zustand nach Appendektomie wird eine Stumpfappendizitis häufig nicht in Betracht gezogen. Wir berichten über den ungewöhnlichen Fall einer Stumpfappendizitis im rechten oberen Quadranten nach vorangegangener Operation wegen einer Invagination mit Begleitappendektomie. Die abdominale Computertomografie (CT) ist für eine frühe Diagnose der Stumpfappendizitis effizienter, um weitere Komplikationen und einen verlängerten Krankenhausaufenthalt zu verhindern.

Abstract

Stump appendicitis is often not considered in patients with a surgical history of appendectomy. We report an unusual case of right upper quadrant stump appendicitis after previous operation for intussusception with incidental appendectomy. Abdominal computed tomographic scan is more efficient to make an early diagnosis of stump appendicitis to prevent further complications and prolonged hospitalization.

Schlüsselwörter

Intussuszeption - Stumpfappendizitis - Appendektomie

Key words

intussusception - stump appendicitis - appendectomy

Reference

  • 1 Gupta R, Gernshiemer J, Golden J. et al . Abdominal pain secondary to stump appendicitis in a child.  J Emerg Med. 2000;  18 431-433
    Suche in Google Scholar
  • 2 Mangi A A, Berger D L. Stump appendicitis.  Am Surg. 2000;  66 739-741
    Suche in Google Scholar
  • 3 Feigmi E, Carmon M, Szold A. et al . Acute stump appendicitis.  Lancet. 1993;  341 757
    Suche in Google Scholar
  • 4 Erzurum V Z, Kasirajan K, Hashmi M. Stump appendicitis:a case report.  J Laparoendosc Adv Surg Tech A. 1997;  7 389-391
    Suche in Google Scholar
  • 5 Aschkenasy M T, Rybicki F J. Acute appendicitis of the appendiceal stump.  J Emerg Med. 2005;  28 41-43
    Suche in Google Scholar
  • 6 Thomas S E, Denning D A, Cummings M H. Delayed pathology of the appendiceal stump: a case report of stump appendicitis and review.  Am Surg. 1994;  60 842-844
    Suche in Google Scholar
  • 7 Devereaux D A, McDermott J P, Caushaj P F. Recurrent appendicitis following laparoscopic appendectomy.  Dis Colon Rectum. 1994;  37 719-720
    Suche in Google Scholar
  • 8 Walsh D CA, Roediger W EW. Stump appendicitis – a potential problem after laparoscopic appendicectomy.  Surg Laparosc Endosc. 1997;  7 357-358
    Suche in Google Scholar
  • 9 Milne A A, Bradbury A W. ”Residual” appendicitis following incomplete laparoscopic appendicectomy.  Br J Surg. 1996;  83 217
    Suche in Google Scholar
  • 10 Wright T E, Diaco J F. Recurrent appendicitis after laparoscopic appendectomy.  Int Surg. 1994;  79 251-252
    Suche in Google Scholar
  • 11 Harris C R. Appendiceal stump abscess ten years after appendectomy.  Am J Emerg Med. 1989;  7 411-412
    Suche in Google Scholar
  • 12 Rose T F. Recurrent appendiceal abscess.  Med J. 1945;  32 652-659
    Suche in Google Scholar
  • 13 Watkins B P, Kothari S N, Landercasper J. Stump appendicitis:case report and review.  Surg Laparosc Endosc Percutan Tech. 2004;  14 167-171
    Suche in Google Scholar
  • 14 Liang M K, Lo H G, Marks J L. Stump appendicitis: a comprehensive review of literature.  Am Surg. 2006;  72 162-166
    Suche in Google Scholar
  • 15 Rao P M, Sagarin M J, McCabe C J. Stump appendicitis diagnosed preoperatively by computed tomography.  Am J Emerg Med. 1998;  16 309-311
    Suche in Google Scholar
  • 16 Sala E, Watson C J, Beadsmoore C. et al . A randomized, controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain.  Clin Radiol. 2007;  62 961-969
    Suche in Google Scholar
  • 17 Ng C S, Watson C J, Palmer C R. et al . Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study.  BMJ. 2002;  325 1387
    Suche in Google Scholar

Shu-Wen Jao

Department of Surgery, Tri-Service General Hospital, National Defense Medical Center

No. 325, Cheng-Kung Rd, Sec 2, Taipei 114, Taiwan

Telefon: +886/2/8792 3311 ext 12754

Fax: +886/2/8792 7379

eMail: aarondakimo@yahoo.com.tw