nach oben

Pediatric Surgery International

Erschienen in:

01.12.2023 | Review

Stump appendicitis in children: a systematic review

verfasst von: Marko Bašković, Luca Zaninović, Ante Čizmić, Mirko Žganjer

Erschienen in: Pediatric Surgery International | Ausgabe 1/2023

Einloggen, um Zugang zu erhalten

Abstract

Background

Stump appendicitis is a rare complication after primary appendectomy and is often not considered in the differential diagnosis of patients who have undergone an appendectomy. With this systematic review, the aim was to identify all cases of stump appendicitis in children in order to gain a better insight into the risk factors, clinical presentation, diagnostics, and treatment.

Methods

Scopus and PubMed databases were searched. The search combinations used the following MeSH and free text terms: [(stump) OR (residual) OR (remaining) OR (retained) OR (recurrent)] AND (append*). Neither search filters nor text analysis tools were used. To be included, the report had to contain information about a patient between the age of 0 and 18 who was treated for stump appendicitis as a result of an inadequately performed appendectomy.

Results

Out of the 19,976 articles, 29 of them, with a total of 34 cases, met the inclusion criteria. The mean age at the time of stump appendectomy was 13.32 ± 3.57 years, while the median time between primary and stump appendectomy was 7.5 (2.3 – 24.0) months. The ratio between boys and girls was 3.2: 1. Primary appendectomy was performed laparoscopically in a greater number of cases compared to the open approach (1.5: 1), and according to the available data, no higher proportion of complicated appendicitis was recorded during a primary appendectomy. The median duration of symptoms during stump appendicitis was 2 days, and in most cases, the pain was localized. Stump appendectomy in most cases was performed with an open approach, and in relation to the type of appendicitis, most of them were complicated. The mean value of the length of the stump was 2.79 ± 1.22 cm, and the smallest recorded length was 0.6 cm.

Conclusions

A non-specific clinical presentation with a history of appendectomy usually makes the diagnosis of stump appendicitis challenging for uninformed physicians, and due to untimely treatment, it usually results in complicated forms of stump appendicitis. Complete appendectomy remains the gold standard in the treatment of stump appendicitis.

Humes DJ, Simpson J (2006) Acute appendicitis. BMJ 333(7567):530–534. https://doi.org/10.1136/bmj.38940.664363.AECrossRefPubMedPubMedCentral

Williams GR (1983) Presidential Address: a history of appendicitis With anecdotes illustrating its importance. Ann Surg 197(5):495–506. https://doi.org/10.1097/00000658-198305000-00001CrossRefPubMedPubMedCentral

Jeon BG, Kim HJ, Jung KH et al (2016) Prolonged operative time in laparoscopic appendectomy: predictive factors and outcomes. Int J Surg 36(Pt A):225–232. https://doi.org/10.1016/j.ijsu.2016.10.035CrossRefPubMed

Gadiparthi R, Waseem M (2022) Pediatric Appendicitis. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing.

Memon ZA, Irfan S, Fatima K et al (2013) Acute appendicitis: diagnostic accuracy of Alvarado scoring system. Asian J Surg 36(4):144–149. https://doi.org/10.1016/j.asjsur.2013.04.004CrossRefPubMed

Birnbaum BA, Wilson SR (2000) Appendicitis at the millennium. Radiology 215(2):337–348. https://doi.org/10.1148/radiology.215.2.r00ma24337CrossRefPubMed

Duke E, Kalb B, Arif-Tiwari H et al (2016) A systematic review and meta-analysis of diagnostic performance of mri for evaluation of acute appendicitis. AJR Am J Roentgenol 206(3):508–517. https://doi.org/10.2214/AJR.15.14544CrossRefPubMed

Styrud J, Eriksson S, Nilsson I, et al (2006) Appendectomy versus antibiotic treatment in acute appendicitis. a prospective multicenter randomized controlled trial. World J Surg 30(6):1033–1037. doi:https://doi.org/10.1007/s00268-005-0304-6

Davidson GH, Flum DR, Talan DA, et al (2017) Comparison of Outcomes of antibiotic Drugs and Appendectomy (CODA) trial: a protocol for the pragmatic randomised study of appendicitis treatment. BMJ Open 7(11):e016117. doi:https://doi.org/10.1136/bmjopen-2017-016117

10.

Di Saverio S, Birindelli A, Kelly MD et al (2016) WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis. World J Emerg Surg 11:34. https://doi.org/10.1186/s13017-016-0090-5CrossRefPubMedPubMedCentral

11.

Yamanaka S, Skarsgard ED, Goldman RD (2018) Conservative therapy for appendicitis in children. Can Fam Physician 64(8):574–576PubMedPubMedCentral

12.

Scott A, Shekherdimian S, Rouch JD et al (2017) Same-Day Discharge in Laparoscopic Acute Non-Perforated Appendectomy. J Am Coll Surg 224(1):43–48. https://doi.org/10.1016/j.jamcollsurg.2016.10.026CrossRefPubMed

13.

Long KH, Bannon MP, Zietlow SP et al (2001) A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses. Surgery 129(4):390–400. https://doi.org/10.1067/msy.2001.114216CrossRefPubMed

14.

Artul S, Daud M, Abboud N, et al (2014) Stump appendicitis: a challenging diagnosis. BMJ Case Rep 2014:bcr2014206775. doi:https://doi.org/10.1136/bcr-2014-206775

15.

Roberts KE, Starker LF, Duffy AJ et al (2011) Stump appendicitis: a surgeon’s dilemma. JSLS 15(3):373–378. https://doi.org/10.4293/108680811X13125733356954CrossRefPubMedPubMedCentral

16.

Mejri A, Arfaoui K, Aloui B (2020) Stump appendicitis: a myth that can become reality. Pan Afr Med J 36:274. https://doi.org/10.11604/pamj.2020.36.274.24690CrossRefPubMedPubMedCentral

17.

Wong K, Ozgediz DE, Dodington J (2020) History of appendectomy? An atypical case of recurrent abdominal pain. Am J Emerg Med 38(6):1295.e3-1295.e4. https://doi.org/10.1016/j.ajem.2020.01.011CrossRefPubMed

18.

Choi H, Choi YJ, Lee TG, et al (2019) Laparoscopic management for stump appendicitis: A case series with literature review. Medicine (Baltimore) 98(47):e18072. doi:https://doi.org/10.1097/MD.0000000000018072

19.

Bu-Ali O, Al-Bashir M, Samir HA et al (2011) Stump appendicitis after laparoscopic appendectomy: case report. Ulus Travma Acil Cerrahi Derg 17:267–268. https://doi.org/10.5505/tjtes.2011.47123CrossRefPubMed

20.

Martínez Chamorro E, Merina Castilla A, Muñoz Fraile B et al (2013) Stump appendicitis: preoperative imaging findings in four cases. Abdom Imaging 38(6):1214–1219. https://doi.org/10.1007/s00261-013-0008-6CrossRefPubMed

21.

Schreiner C, Hartin CW Jr, Yamout SZ et al (2013) A warning: don’t be stumped by stump appendicitis. Pediatr Emerg Care 29(1):76–77. https://doi.org/10.1097/PEC.0b013e31827b54dbCrossRefPubMed

22.

Tang XB, Qu RB, Bai YZ et al (2011) Stump appendicitis in children. J Pediatr Surg 46(1):233–236. https://doi.org/10.1016/j.jpedsurg.2010.09.049CrossRefPubMed

23.

Patel RP, Kan JH (2009) Stump appendicitis. Pediatr Radiol 39(3):306. https://doi.org/10.1007/s00247-008-1045-0CrossRefPubMed

24.

Waseem M, Devas G (2008) A child with appendicitis after appendectomy. J Emerg Med 34(1):59–61. https://doi.org/10.1016/j.jemermed.2007.04.011CrossRefPubMed

25.

Baldisserotto M, Cavazzola S, Cavazzola LT et al (2000) Acute edematous stump appendicitis diagnosed preoperatively on sonography. AJR Am J Roentgenol 175(2):503–504. https://doi.org/10.2214/ajr.175.2.1750503CrossRefPubMed

26.

Gupta R, Gernshiemer J, Golden J et al (2000) Abdominal pain secondary to stump appendicitis in a child. J Emerg Med 18(4):431–433. https://doi.org/10.1016/s0736-4679(00)00159-1CrossRefPubMed

27.

Erzurum VZ, Kasirajan K, Hashmi M (1997) Stump appendicitis: a case report. J Laparoendosc Adv Surg Tech A 7:389–391. https://doi.org/10.1089/lap.1997.7.389CrossRefPubMed

28.

Vahidirad A, Amanzadeh S, Mousavi H, et al (2020) Stump appendicitis; a case report. J Pediatr Surg Case Rep 59:101520. doi: https://doi.org/10.1016/j.epsc.2020.101520

29.

Ferreira de Lima S, Patena Forte J, de Castro M, et al (2020) Stump appendicitis in two adolescent boys: Rare presentations and alternative approaches in pediatrics. J Pediatr Surg Case Rep 52:101334. doi: https://doi.org/10.1016/j.epsc.2019.101334

30.

Essenmacher AC, Nash E, Walker SK et al (2018) Stump Appendicitis. Clin Pract Cases Emerg Med 2(3):211–214. https://doi.org/10.5811/cpcem.2018.3.37730CrossRefPubMedPubMedCentral

31.

Parthsarathi R, Jankar SV, Chittawadgi B et al (2017) Laparoscopic management of symptomatic residual appendicular tip: A rare case report. J Minim Access Surg 13(2):154–156. https://doi.org/10.4103/0972-9941.199610CrossRefPubMedPubMedCentral

32.

Reddan T, Corness J, Powell J et al (2017) Stumped? It could be stump appendicitis. Sonography 4:36–39. https://doi.org/10.1002/sono.12098CrossRef

33.

Kumar A, Sharma A, Khullar R et al (2013) Stump appendicitis: A rare clinical entity. J Minim Access Surg 9(4):173–176. https://doi.org/10.4103/0972-9941.118835CrossRefPubMedPubMedCentral

34.

Priego P, Daroca P, Bouyabrine H et al (2011) Laparoscopic resection of appendicular stump after recurrent appendicitis. Surg Chron 16:245–246

35.

Parameshwarappa S, Rodrigues G, Prabhu R et al (2011) Stump Appendicitis following Laparoscopic Appendectomy. Sultan Qaboos Univ Med J 11(1):112–114PubMedPubMedCentral

36.

Gasmi M, Fitouri F, Sahli S et al (2009) A stump appendicitis in a child: a case report. Ital J Pediatr 35(1):35. https://doi.org/10.1186/1824-7288-35-35CrossRefPubMedPubMedCentral

37.

Salehi H, Anjamrooz SH (2008) Successfully treated stump appendicitis diagnosed by CT and ultrasonography. Indian J Surg 70(2):89–91. https://doi.org/10.1007/s12262-008-0024-xCrossRefPubMedPubMedCentral

38.

Guisasola Iñiguez A, Leunda Iruretagoyena M, Villanueva Mateo A et al (2007) Appendicitis of the appendicular stump. A new observation An Pediatr (Barc) 66(5):539–540. https://doi.org/10.1157/13102520CrossRefPubMed

39.

Çiftci F, Abdurrahman I, Tatar Z (2015) Stump Appendicitis: A Clinical Enigma Chirurgia (Bucur) 110(6):562–564PubMed

40.

Crocco S, Pederiva F, Zanelli E et al (2013) Stump appendicitis seven years after appendectomy. APSP J Case Rep 4(2):33PubMedPubMedCentral

41.

García Baglietto G, Barceló Cañellas C, Marhuenda Irastorza C (2015) Existe la apendicitis del muñón apendicular? Cir Pediatr 28:208–210PubMed

42.

Sreedhar Rao K, Janardhan J, Venkateswar P et al (2015) Stump appendicitis after open appendicectomy: Judicious surgical approach. IOSR-JDMS 14:41–43

43.

Jonuzi A, Popović N, Zvizdić Z et al (2019) Stump appendicitis after laparoscopic appendectomy: a rare clinical entity. Acta Chir Croat 16:21–23

44.

Ramírez AG, Fierro F, Holguín DA et al (2017) Stump appendicitis in a 2-year-old patient. Case report and literature review. Case reports 3:22–29. https://doi.org/10.15446/cr.v3n1.59469CrossRef

45.

Salati SA (2021) Stump appendicitis - a systematic analysis. Pol Przegl Chir 94(1):62–69. https://doi.org/10.5604/01.3001.0015.4553CrossRefPubMed

46.

Manatakis DK, Aheimastos V, Antonopoulou MI et al (2019) Unfinished Business: A Systematic Review of Stump Appendicitis. World J Surg 43(11):2756–2761. https://doi.org/10.1007/s00268-019-05101-zCrossRefPubMed

47.

Leff DR, Sait MR, Hanief M et al (2012) Inflammation of the residual appendix stump: a systematic review. Colorectal Dis 14(3):282–293. https://doi.org/10.1111/j.1463-1318.2010.02487.xCrossRefPubMed

48.

Wright TE, Diaco JF (1994) Recurrent appendicitis after laparoscopic appendectomy. Int Surg 79(3):251–252PubMed

49.

Filippi de la Palavesa MM, Vaxmann D, Campos M, et al (1996) Appendiceal stump abscess. Abdom Imaging. 1996;21(1):65–66. doi:https://doi.org/10.1007/s002619900012

50.

Kanona H, Al Samaraee A, Nice C et al (2012) Stump appendicitis: a review. Int J Surg 10(9):425–428. https://doi.org/10.1016/j.ijsu.2012.07.007CrossRefPubMed

51.

Mangi AA, Berger DL (2000) Stump appendicitis. Am Surg 66(8):739–741CrossRefPubMed

52.

Shah T, Gupta RK, Karkee RJ et al (2017) Recurrent pain abdomen following appendectomy: Stump Appendicitis, a surgeon’s dilemma. Clin Case Rep 5(3):215–217. https://doi.org/10.1002/ccr3.781CrossRefPubMedPubMedCentral

53.

Hendahewa R, Shekhar A, Ratnayake S (2015) The dilemma of stump appendicitis - A case report and literature review. Int J Surg Case Rep 14:101–103. https://doi.org/10.1016/j.ijscr.2015.07.017CrossRefPubMedPubMedCentral

54.

Subramanian A, Liang MK (2012) A 60-year literature review of stump appendicitis: the need for a critical view. Am J Surg 203(4):503–507. https://doi.org/10.1016/j.amjsurg.2011.04.009CrossRefPubMed

55.

Mannu GS, Sudul MK, Bettencourt-Silva JH, et al (2017) Closure methods of the appendix stump for complications during laparoscopic appendectomy. Cochrane Database Syst Rev 11(11):CD006437. doi:https://doi.org/10.1002/14651858.CD006437.pub3

56.

Lavonius MI, Liesjärvi S, Niskanen RO et al (1996) Simple ligation vs stump inversion in appendicectomy. Ann Chir Gynaecol 85(3):222–224PubMed

57.

Botianu PVH, Botianu AMV, Boeriu C (2016) Laparoscopic Management of Stump Appendicitis after Open Appendectomy. J Surg 12:37–38. https://doi.org/10.7438/1584-9341-12-1-8CrossRef

Titel: Stump appendicitis in children: a systematic review
verfasst von: Marko Bašković
Luca Zaninović
Ante Čizmić
Mirko Žganjer
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2023
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05475-1

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Stump appendicitis in children: a systematic review

Abstract

Background

Methods

Results

Conclusions

Neu im Fachgebiet Pädiatrie

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

Neue Studienergebnisse zur Myopiekontrolle mit Atropin

Spinale Muskelatrophie: Neugeborenen-Screening lohnt sich

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Update Pädiatrie

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2023

Microsurgical replacement of the right hepatic artery with the donor superior mesenteric artery in cadaveric donor pediatric liver transplantation

Prediction of post-operative acute pancreatitis in children with pancreaticobiliary maljunction using machine learning model

Frequency and function of circulating regulatory T-cells in biliary atresia

Saving the perineal body—A modification of the posterior sagittal anorectoplasty

Effects of extensive mobilization and tension anastomosis in anorectal reconstruction (experimental study)

Efficacy of a modified needle grasper for single-port laparoscopic hernia repair in children: a propensity score-matched analysis

Neu im Fachgebiet Pädiatrie

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

Neue Studienergebnisse zur Myopiekontrolle mit Atropin

Spinale Muskelatrophie: Neugeborenen-Screening lohnt sich

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Update Pädiatrie