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Laparoscopic partial cecal resection for stump appendicitis : a case report Shogo TANAKA 1 , Kanji ISHIHARA 1 , Yusuke NAKAMURA 1 , Ryoya HASHIBA 1 , Takatsugu YAMAMOTO 1 1Department of Surgery, Ishikiriseiki Hospital Keyword: 遺残虫垂炎 , 盲腸楔状切除 , 内視鏡下アプローチ pp.505-509
Published Date 2012/8/15
DOI https://doi.org/10.11477/mf.4426100819
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 The patient was a 61-year-old female who was referred to our hospital because of right lower abdominal pain and nausea with right lumbago that had persisted for 2 months. Her past history revealed that she had undergone appendectomy for acute appendicitis, 47 years ago. Physical examination showed diffuse abdominal tenderness that reached a maximum at McBurney's point. Abdominal computed tomography showed calcification, indicating the presence of a fecal stone within a short tubular structure of 10 mm in diameter at the caput cecum. Laboratory data showed slight elevation of the white blood cell count and serum C-reactive protein level. A preoperative diagnosis of stump appendicitis was made after exclusion of urinary stone, gynecological diseases, and neurologic diseases. Laparoscopic partial cecal resection with the stump appendix was performed. The resected specimen revealed slight congestion of the mucosa. A histological examination showed chronic inflammation of the stump appendix. The patient was discharged 3 days after the operation.


Copyright © 2012, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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