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Revista Cubana de Cirugía
versão On-line ISSN 1561-2945
Resumo
RODRIGUEZ FERNANDEZ, Zenén. Relapsed appendicitis in appendectomized patients. Rev Cubana Cir [online]. 2019, vol.58, n.3 Epub 01-Set-2019. ISSN 1561-2945.
Introduction:
Acute appendicitis is the most common cause of acute abdomen, which requires surgical treatment by open or laparoscopic appendectomy. Recurrent appendicitis of the stump, in which inflammation of the appendicular remnant occurs, is an infrequent late complication of appendectomy.
Objective:
To identify the possible causes of recurrent appendicitis, as well as the measures related to its prevention.
Methods:
A review of the updated literature on the subject was carried out in digital format, in publications in English and Spanish.
Conclusions:
Prevention of appendicitis of the stump is based on resecting the appendix less than 0.5 cm from its base; Patients frequently present symptoms similar to those before the first surgery, however, there is an increased risk of peritonitis and serious complications due to delayed diagnosis and therapy; It is a rare cause of abdominal pain in appendectomized patients, so high suspicion should be kept for its early diagnosis and prompt treatment.
Palavras-chave : stump appendicitis; acute appendicitis; complicated acute appendicitis; recurrent appendicitis; appendicular stump.