RT Journal Article
SR Electronic
T1 Stumped by a Case of Appendicitis After Appendectomy
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 147
OP 150
DO 10.31486/toj.23.0098
VO 24
IS 2
A1 Yuen, Ami Takei
A1 Suessman, Anna
YR 2024
UL http://www.ochsnerjournal.org/content/24/2/147.abstract
AB Background: Stump appendicitis—a rare, delayed complication of appendectomy—is most commonly managed with surgical exploration and stump appendectomy. Conservative management in the pediatric population is poorly characterized in the literature.Case Report: We report a case of a 10-year-old male who was diagnosed with stump appendicitis and initially treated nonoperatively. He received intravenous antibiotics and supportive therapy while in the hospital, was discharged on a course of oral antibiotics, and remained asymptomatic for the following 9 weeks until he underwent an elective interval stump appendectomy. We also review the literature on this uncommon condition and treatment plan.Conclusion: Considering stump appendicitis in the differential of children with history of appendectomy is imperative. Nonoperative management of stump appendicitis may be successful and beneficial in select pediatric cases compared to the standard surgical management.