Vol. 6, Issue 1, Part C (2020)

Methods: A retrospective review of the medical records of the children admitted with post-appendectomy abdominal pain and operated for stump appendicitis at our institution between January 2017 and December 2019 was performed.

Results: A total of 34 patients were admitted with post-appendectomy abdominal pain and 5 patients underwent surgery for stump appendicitis. The common presentation was right iliac fossa pain and peritonitis. All the patients underwent a preoperative CT abdomen. Four of them had previous laparoscopic appendectomy and one child had undergone open surgery.

Conclusion: Stump appendicitis should be considered as a differential diagnosis for post-appendectomy abdominal pain. CT abdomen is the investigation of choice. Prompt diagnosis and appropriate treatment is required to ensure prevention of complications due to delayed diagnosis.