A Case of Endoscopic Removal of a Giant Appendicolith Combined with Stump Appendicitis.
- Author:
Du Jin KIM
1
;
Sang Wook PARK
;
Seung Ho CHOI
;
Jong Hoon LEE
;
Kyoung Wan YOU
;
Geum Soo LEE
;
Hyeung Cheol MOON
;
Gun Young HONG
Author Information
1. Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea. kch20113@hanmail.net
- Publication Type:Case Report
- Keywords:
Appendicolith;
Stump appendicitis;
Endoscopic removal
- MeSH:
Abdominal Pain;
Appendectomy;
Appendicitis*;
Appendix;
Cecum;
Delayed Diagnosis;
Humans;
Inflammation;
Middle Aged
- From:Clinical Endoscopy
2014;47(1):112-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. A 48-year-old man who had undergone appendectomy 35 years earlier presented to the hospital because of right lower quadrant discomfort. A computed tomography scan showed a large stone in the residual appendix. Colonoscopic findings revealed a large, smooth, protruding lesion at the cecum with a stone inside the appendiceal orifice. Endoscopic removal after incision of the appendiceal orifice was performed successfully.
