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Prospective CT Diagnosis of Stump Appendicitis

Lewis K. Shin1, David Halpern2, Shiobhan R. Weston3, Evan M. Meiner4 and Douglas S. Katz1

1 Department of Radiology, Winthrop-University Hospital, 259 First Street, Mineola, NY 11501.
2 Department of Surgery, Winthrop-University Hospital, Mineola, NY 11501.
3 Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Winthrop-University Hospital, Mineola, NY 11501.
4 Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY, 11030.



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  		Fig. 1A. —41-year-old man with stump appendicitis. Contrast-enhanced CT scan of abdomen shows enlarged appendiceal stump (arrowhead) with stranding of adjacent mesenteric fat.

 


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  		Fig. 1B. —41-year-old man with stump appendicitis. Contrast-enhanced CT scan of abdomen at level superior to A shows distended appendiceal stump (arrowhead) with enhancing wall and local inflammatory changes. Note staple line from initial appendectomy (arrow).

 


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  		Fig. 1C. —41-year-old man with stump appendicitis. Gross pathologic specimen of resected appendiceal stump and mesoappendix. Note surgical staple line from initial appendectomy (arrow) and stump appendectomy (arrowhead).

 


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  		Fig. 2. —35-year-old man with epigastric pain and incidentally detected appendiceal stump. Contrast-enhanced CT scan of abdomen shows air in residual appendiceal base (arrow). Residual appendix was visible on several contiguous 5-mm axial images.

 

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