Prospective CT Diagnosis of Stump Appendicitis

Department of Radiology, Winthrop-University Hospital, 259 First Street, Mineola, NY 11501, USA.
American Journal of Roentgenology (Impact Factor: 2.73). 04/2005; 184(3 Suppl):S62-4. DOI: 10.2214/ajr.184.3_supplement.01840s62
Source: PubMed
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    • "As in our case, a high clinical suspicion and the presence of fecalith may help to diagnose the disease. Ultrasonography and CT scan of the abdomen constitute the modalities of choice for confirming the diagnosis [2,4,5,9,11,14]. Laparoscopy seems to be better than conventional laparotomy. "
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    ABSTRACT: Stump appendicitis is a delayed complication of appendectomy. It is rare and few cases reported in the paediatric literature. The authors report on another case in a child and focus on the diagnostic peculiarities of this entity. A 9-year-old boy with previous history of open appendectomy was admitted for a right lower quadrant pain with bilious vomiting and fever. Physical examination demonstrated tenderness in the right lower quadrant and guarding over the appendectomy scar. The white blood cell count was 23.500 cells/mm3. Plain abdominal radiograph and ultrasonography revealed fecalith localized in the right iliac fossa. The diagnosis of stump appendicitis was advocated and confirmed at laparotomy. A gangrenous and perforated appendiceal stump was found and completely removed. The post-operative course was uneventful after 18 months follow-up period. Stump appendicitis is rare and should be considered in any patient with right lower quadrant pain even if there is a history of appendectomy. Complete removal of the appendix is the only mean to prevent the occurrence of this complication.
    Italian Journal of Pediatrics 11/2009; 35(1):35. DOI:10.1186/1824-7288-35-35 · 1.52 Impact Factor
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    ABSTRACT: Stump appendicitis is an acute inflammation of the residual appendix and one of the rare complications after appendectomy. Paying attention to the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy can prevent the delay of diagnosis and treatment. In patients with stump appendicitis, CT scan not only assists in making an accurate preoperative diagnosis but also excludes other etiologies. We report a 47-year old man with preoperatively diagnosed stump appendicitis by CT, who underwent an open appendectomy 20 years ago.
    World Journal of Gastroenterology 10/2006; 12(33):5401-3. · 2.37 Impact Factor
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    ABSTRACT: The relation between innovative output from the R&D process and total factor productivity (TFP) in the Swedish pharmaceutical industry has been investigated. The focus has been on the 1960s when the institutional conditions for innovation changed drastically in the pharmaceutical industry through new and stricter regulation. The short term effect of the new regulation was a shift towards quality products. Patenting increased and there were an increasing number of economically successful drugs based on new substances (NCEs). This had a positive impact on TFP growth.
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