[The copyright line for this article was changed on 25 November after original online publication.]
Key Clinical Message
A low threshold for computed tomography (CT) scanning in patients with previous appendicectomy and right iliac fossa pain helps facilitate timely diagnosis and exclusion of other differential diagnoses. Here, we present a rare cause which has significant medicolegal ramifications and is accurately diagnosed with CT.
This 63-year-old male presented with central abdominal pain localizing to the right iliac fossa. He underwent laparoscopic appendicectomy 2 years previously which histologically confirmed appendicitis. Blood inflammatory markers were raised.
What is this? 12 mm calcified faecolith.
What is this? Free extraluminal gas indicating perforation.
What is the diagnosis?
Stump appendicitis. This was confirmed at operation and histology, with a large faecolith removed. A low threshold for computed tomography in patients with previous appendicectomy and RIF pain helps to rule out other differentials such as cecal malignancy or diverticulitis.
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