A Rare Case of Twice Perforated Appendix

Abstract

Stump appendicitis is a rare complication of appendectomy. It was first described in 1945 by Rose [1]. To date,
it remains both a diagnostic dilemma and a management challenge for clinicians.
We present a case of a 58-year-old gentleman with a past history of appendectomy, who presented with cardinal
symptoms and signs of intestinal obstruction. Assessment with CT abdomen revealed pericecal inflammation,
pneumoperitoneum, and multiple intra-abdominal collections; however, stump appendicitis was not identified.
He underwent surgery, during which stump appendicitis was diagnosed intraoperatively, and a completion
appendectomy was performed. We review the literature regarding the diagnostic challenges and treatment
strategies for stump appendicitis.