DOI: https://doi.org/10.36347/sasjs.2026.v12i03.013

Pages: 235-236

The residual appendiceal stump left after an initial appendectomy represents a major risk factor for the development of stump appendicitis, which may lead to an appendiceal abscess. This diagnosis should be considered in any appendectomized patient presenting with right lower quadrant pain to prevent diagnostic and therapeutic delays. Treatment relies on a completion appendectomy. Prevention of this complication requires accurate identification of the appendiceal base, appropriate treatment of the stump by thermal energy to eliminate bacteria within the appendiceal lumen, and ensuring that the stump length does not exceed one centimeter. These measures represent the most effective strategy to reduce the risk of complications associated with a residual appendiceal stump.