Abstract
Appendicostomy has been used for decompression or drug injection in diseases of lower alimentary tarct, because of its anatomical properties and tendency of spontaneous closure after removal of the tube. We had two cases of the appendicitis in the abdominal wall after closure of appendicostomy. One case is 9-year-old boy, who had suffered from ileal atresia and had received ileal resection and appendicostomy in the neonate. The other is 13-year-old girl, who had received' resection and enterostomy of the small intestine in the neonate because of meconium plug syndrome, and had received closure of enterostomy and appendicostomy at 6 month. Both complained right lower abdominal pain, and skin rush and tenderness were recognized at the scar of appendicostomy. A hypoechoic lesion continuing to the cecum was demonstrated by the echogram. After the symptoms decreased with conservative therapy, elective appendectomy was done. In our department, we had 11 cases of appendicostomy in neonates and infants for the last 25 years. Most cases were ileal atresia. Appendicostomies made for decompression worked well, but there were several complications after removal of the tube. It seemd necessary to perform mucosal cautery or appendectomy at the closure.
