n South African Journal of Surgery - Stump appendicitis - a cautionary tale of appendicitis after appendicectomy : letters to the editor

Volume 48, Issue 2
  • ISSN : 0038-2361
  • E-ISSN: 2078-5151



A 41-year-old woman presented with a 10-day history of recurrent sharp abdominal pains over a dull aching background, localised to the right lower quadrant. She had associated fever and sweating. There were no bowel, urinary or vaginal complaints. Of note, the patient had undergone laparoscopic appendicectomy 3 years previously. Clinically, a firm smooth tender mass was felt in the right lower quadrant. Laboratory tests were normal except for moderately raised C-reactive protein (CRP). An abdominal ultrasound scan confirmed a right iliac fossa mass measuring 27x15 mm with mixed echogenicity containing air related to the bowel.

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