Stump appendicitis in a 2 year-old patient. Case report and literature review
Stump appendicitis is a rare cause of acute abdomen in the pediatric population, therefore, it is not suspected frequently. This paper presents the case report of a 2-year-old child admitted into the emergency room due to vomiting, abdominal pain and fever. On admission, the patient presented with...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidad Nacional de Colombia
2017-01-01
|
| Series: | Case Reports |
| Subjects: | |
| Online Access: | https://revistas.unal.edu.co/index.php/care/article/view/59469 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846152025649184768 |
|---|---|
| author | Andrés Guillermo Ramírez Fernando Fierro Diana Alejandra Holguín Mizrahinn Méndez |
| author_facet | Andrés Guillermo Ramírez Fernando Fierro Diana Alejandra Holguín Mizrahinn Méndez |
| author_sort | Andrés Guillermo Ramírez |
| collection | DOAJ |
| description |
Stump appendicitis is a rare cause of acute abdomen in the pediatric population, therefore, it is not suspected frequently. This paper presents the case report of a 2-year-old child admitted into the emergency room due to vomiting, abdominal pain and fever.
On admission, the patient presented with tachypnea, tachycardia, abdominal bloating and abdominal tenderness; laboratories showed leukocytosis, thrombocytosis and an elevated C-reactive protein (CPR) levels. Abdominal obstruction was considered because of a prior history of peritonitis associated with perforated appendicitis. However, an emergency laparotomy had to be performed during hospitalization due to hemodynamic deterioration and worsening of abdominal pain.
Peritonitis, appendicitis, intestinal perforation and an incidental Meckel’s diverticulum were found. After surgery, the patient was taken to the intensive care unit, where antibiotic therapy was administered for 14 days and multiple peritoneal lavages were performed; finally, the patient was discharged.
Even though stump appendicitis is not a common cause of acute abdomen, it should be kept in mind in patients with history of appendectomy accompanied by abdominal pain, who attend the emergency service. Delay in diagnosis and treatment is associated with higher morbidity rates and an increase in medical costs.
|
| format | Article |
| id | doaj-art-0d2f957ec8cb41e8b781bffefdb9ccf2 |
| institution | Kabale University |
| issn | 2462-8522 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Case Reports |
| spelling | doaj-art-0d2f957ec8cb41e8b781bffefdb9ccf22024-11-26T23:59:48ZengUniversidad Nacional de ColombiaCase Reports2462-85222017-01-013110.15446/cr.v3n1.5946945626Stump appendicitis in a 2 year-old patient. Case report and literature reviewAndrés Guillermo Ramírez0Fernando Fierro1Diana Alejandra Holguín2Mizrahinn Méndez3Universidad Nacional de ColombiaUniversidad Nacional de ColombiaUniversidad Nacional de ColombiaUniversidad Nacional de Colombia Stump appendicitis is a rare cause of acute abdomen in the pediatric population, therefore, it is not suspected frequently. This paper presents the case report of a 2-year-old child admitted into the emergency room due to vomiting, abdominal pain and fever. On admission, the patient presented with tachypnea, tachycardia, abdominal bloating and abdominal tenderness; laboratories showed leukocytosis, thrombocytosis and an elevated C-reactive protein (CPR) levels. Abdominal obstruction was considered because of a prior history of peritonitis associated with perforated appendicitis. However, an emergency laparotomy had to be performed during hospitalization due to hemodynamic deterioration and worsening of abdominal pain. Peritonitis, appendicitis, intestinal perforation and an incidental Meckel’s diverticulum were found. After surgery, the patient was taken to the intensive care unit, where antibiotic therapy was administered for 14 days and multiple peritoneal lavages were performed; finally, the patient was discharged. Even though stump appendicitis is not a common cause of acute abdomen, it should be kept in mind in patients with history of appendectomy accompanied by abdominal pain, who attend the emergency service. Delay in diagnosis and treatment is associated with higher morbidity rates and an increase in medical costs. https://revistas.unal.edu.co/index.php/care/article/view/59469AppendicitisAbdomen, AcuteLaparoscopyPostoperative complication |
| spellingShingle | Andrés Guillermo Ramírez Fernando Fierro Diana Alejandra Holguín Mizrahinn Méndez Stump appendicitis in a 2 year-old patient. Case report and literature review Case Reports Appendicitis Abdomen, Acute Laparoscopy Postoperative complication |
| title | Stump appendicitis in a 2 year-old patient. Case report and literature review |
| title_full | Stump appendicitis in a 2 year-old patient. Case report and literature review |
| title_fullStr | Stump appendicitis in a 2 year-old patient. Case report and literature review |
| title_full_unstemmed | Stump appendicitis in a 2 year-old patient. Case report and literature review |
| title_short | Stump appendicitis in a 2 year-old patient. Case report and literature review |
| title_sort | stump appendicitis in a 2 year old patient case report and literature review |
| topic | Appendicitis Abdomen, Acute Laparoscopy Postoperative complication |
| url | https://revistas.unal.edu.co/index.php/care/article/view/59469 |
| work_keys_str_mv | AT andresguillermoramirez stumpappendicitisina2yearoldpatientcasereportandliteraturereview AT fernandofierro stumpappendicitisina2yearoldpatientcasereportandliteraturereview AT dianaalejandraholguin stumpappendicitisina2yearoldpatientcasereportandliteraturereview AT mizrahinnmendez stumpappendicitisina2yearoldpatientcasereportandliteraturereview |