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Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature
INTRODUCTION: Acute appendicitis is one of the leading causes of acute abdominal pain and surgical emergency. Stump appendicitis is a known complication of appendectomy whereby a retained appendiceal tip serves as a nidus for recurrent bouts of inflammation. Nevertheless, full-blown appendicitis of...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142391/ https://www.ncbi.nlm.nih.gov/pubmed/35638013 http://dx.doi.org/10.1016/j.amsu.2022.103603 |
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author | Almas, Talal Nagarajan, Vikneswaran Raj Ahmed, Danyal Ullah, Muneeb Ashary, Mohammed Ali Oruk, Mert Khan, Arsalan Amin, Kiran Malik, Uzair Ramjohn, Joshua Huang, Helen Rifai, Ali Alzahrani, Ahlam Alqallaf, Nagi Alsairefi, Sood Hur, Yeoreum Summer Bhullar, Anhad Abdulkarim, Khadeer Alwheibi, Eissa Kadom, Mhmod Alshabibi, Aaisha Shafi, Adil Murad, Faisal Mansoor, Emad |
author_facet | Almas, Talal Nagarajan, Vikneswaran Raj Ahmed, Danyal Ullah, Muneeb Ashary, Mohammed Ali Oruk, Mert Khan, Arsalan Amin, Kiran Malik, Uzair Ramjohn, Joshua Huang, Helen Rifai, Ali Alzahrani, Ahlam Alqallaf, Nagi Alsairefi, Sood Hur, Yeoreum Summer Bhullar, Anhad Abdulkarim, Khadeer Alwheibi, Eissa Kadom, Mhmod Alshabibi, Aaisha Shafi, Adil Murad, Faisal Mansoor, Emad |
author_sort | Almas, Talal |
collection | PubMed |
description | INTRODUCTION: Acute appendicitis is one of the leading causes of acute abdominal pain and surgical emergency. Stump appendicitis is a known complication of appendectomy whereby a retained appendiceal tip serves as a nidus for recurrent bouts of inflammation. Nevertheless, full-blown appendicitis of the vermiform appendix after a prior appendectomy remains a diagnostic conundrum. CASE PRESENTATION: A 45-year-old woman presented with a six-month history of right iliac fossa pain. Pertinently, she had undergone a prior open appendectomy twelve years ago. Further investigative workup revealed full-blown appendicitis, which was not attributable to a retained appendiceal stump. A subsequent laparoscopic appendectomy was performed, and the resultant specimen was sent for further evaluation, confirming the diagnosis of recurrent appendicitis. CLINICAL DISCUSSION: Acute appendicitis is one of the most common life-threatening abdominal surgical emergencies worldwide, with 300000 appendectomies performed annually in the United States alone. Stump and chronic appendicitis are two separate and exceedingly rare clinical entities that may present simultaneously and develop serious complications unless promptly recognized and appropriately managed. The present paper prompts the clinicians to distinguish amongst the two at the initial surgery in order to thwart further exacerbations. CONCLUSION: While stump appendicitis is a rare but well-characterized complication of a prior appendectomy, full-blown appendicitis of vermiform appendix remains elusive. It is therefore imperative to distinguish between a duplicated and a recurrent appendix at the initial operative procedure to facilitate optimal patient management. |
format | Online Article Text |
id | pubmed-9142391 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-91423912022-05-29 Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature Almas, Talal Nagarajan, Vikneswaran Raj Ahmed, Danyal Ullah, Muneeb Ashary, Mohammed Ali Oruk, Mert Khan, Arsalan Amin, Kiran Malik, Uzair Ramjohn, Joshua Huang, Helen Rifai, Ali Alzahrani, Ahlam Alqallaf, Nagi Alsairefi, Sood Hur, Yeoreum Summer Bhullar, Anhad Abdulkarim, Khadeer Alwheibi, Eissa Kadom, Mhmod Alshabibi, Aaisha Shafi, Adil Murad, Faisal Mansoor, Emad Ann Med Surg (Lond) Case Report INTRODUCTION: Acute appendicitis is one of the leading causes of acute abdominal pain and surgical emergency. Stump appendicitis is a known complication of appendectomy whereby a retained appendiceal tip serves as a nidus for recurrent bouts of inflammation. Nevertheless, full-blown appendicitis of the vermiform appendix after a prior appendectomy remains a diagnostic conundrum. CASE PRESENTATION: A 45-year-old woman presented with a six-month history of right iliac fossa pain. Pertinently, she had undergone a prior open appendectomy twelve years ago. Further investigative workup revealed full-blown appendicitis, which was not attributable to a retained appendiceal stump. A subsequent laparoscopic appendectomy was performed, and the resultant specimen was sent for further evaluation, confirming the diagnosis of recurrent appendicitis. CLINICAL DISCUSSION: Acute appendicitis is one of the most common life-threatening abdominal surgical emergencies worldwide, with 300000 appendectomies performed annually in the United States alone. Stump and chronic appendicitis are two separate and exceedingly rare clinical entities that may present simultaneously and develop serious complications unless promptly recognized and appropriately managed. The present paper prompts the clinicians to distinguish amongst the two at the initial surgery in order to thwart further exacerbations. CONCLUSION: While stump appendicitis is a rare but well-characterized complication of a prior appendectomy, full-blown appendicitis of vermiform appendix remains elusive. It is therefore imperative to distinguish between a duplicated and a recurrent appendix at the initial operative procedure to facilitate optimal patient management. Elsevier 2022-04-13 /pmc/articles/PMC9142391/ /pubmed/35638013 http://dx.doi.org/10.1016/j.amsu.2022.103603 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Almas, Talal Nagarajan, Vikneswaran Raj Ahmed, Danyal Ullah, Muneeb Ashary, Mohammed Ali Oruk, Mert Khan, Arsalan Amin, Kiran Malik, Uzair Ramjohn, Joshua Huang, Helen Rifai, Ali Alzahrani, Ahlam Alqallaf, Nagi Alsairefi, Sood Hur, Yeoreum Summer Bhullar, Anhad Abdulkarim, Khadeer Alwheibi, Eissa Kadom, Mhmod Alshabibi, Aaisha Shafi, Adil Murad, Faisal Mansoor, Emad Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature |
title | Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature |
title_full | Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature |
title_fullStr | Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature |
title_full_unstemmed | Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature |
title_short | Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature |
title_sort | recurrent appendicitis of vermiform appendix after a prior appendectomy: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142391/ https://www.ncbi.nlm.nih.gov/pubmed/35638013 http://dx.doi.org/10.1016/j.amsu.2022.103603 |
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