A Case of Laparoscopic Partial Cecal Resection for Stump Appendicitis

Abstract

A 57-year-old woman was referred to our hospital with right lower quadrant abdominal pain lasting for 3 days. She had undergone laparoscopic appendectomy elsewhere 7 months before her presentation. Her fever was 37.5°C. Her white blood cell (WBC) count was 9,500/μl, and the C-reactive protein (CRP) level was 12.3mg/dl. Antibiotic therapy was ineffective. An abdominal contrast-enhanced computed tomography (CT) scan revealed luminal structure at the caudal part and a high density area suggestive of staple at the apical part of the cecum. We thus diagnosed this case as stump appendicitis and emergency surgery was performed. An inflamed 10-mm appendiceal stump was identified. Laparoscopic cecal partial resection was performed. A histological examination showed phlegmonous appendicitis. The patient was discharged 7 days after the operation.