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Papers of the Week

2022 Jul

Radiol Case Rep



Stump appendicitis.


Keller CA, Dudley RM, Huycke EM, Chow RB, Ali A
Radiol Case Rep. 2022 Jul; 17(7):2534-2536.
PMID: 35601384.


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.