0:01

So an additional variant of acute appendicitis

0:03

is something called stump appendicitis.

0:06

So what that is, is a patient's

0:07

had appendicitis and they've had an

0:09

appendectomy, but occasionally a small

0:11

stump of the appendix gets left behind.

0:13

And if that unfortunately gets obstructed,

0:15

they can cause a new appendicitis.

0:18

So in this case, as you're following that

0:20

colon down, we get to the terminal ileum

0:22

right here, come down a little bit further.

0:25

And here we have a little stump of an appendix.

0:27

In this case, we don't have an

0:28

acute appendicitis, but you can

0:30

see this bright part right here.

0:32

In this case, it's not an appendicolith.

0:33

It's probably a little bit of the

0:34

suture after their appendectomy, but

0:36

the fat around is completely clean.

0:38

There's no inflammatory changes around here.

0:40

You don't see the fascial thickening

0:42

right here that would be reactive.

0:43

active from any sort of itis,

0:45

particularly an acute appendicitis.

0:48

So in this case, the patient just has a stump

0:50

of an appendix here, but they are certainly

0:52

at risk of developing acute appendicitis.

0:54

And if you saw inflammation in this area and

0:57

thickening and enhancement, you would call a

0:59

stump appendicitis, even though their surgical

1:02

history says they are post appendectomy.