Published online Dec 27, 2022. doi: 10.4240/wjgs.v14.i12.1432
Peer-review started: September 15, 2022
First decision: October 21, 2022
Revised: October 28, 2022
Accepted: November 22, 2022
Article in press: November 22, 2022
Published online: December 27, 2022
Processing time: 103 Days and 7.3 Hours
Common diseases after radical gastrectomy include cholecystitis and pancreatitis, but the sudden onset of acute appendicitis in a short period following radical gastrectomy is very rare, and its clinical symptoms are easily misdiagnosed as duodenal stump leakage.
This is a case report of a 77-year-old woman with lower right abdominal pain 14 d after radical resection of gastric cancer. Her pain was not relieved by conservative treatment, and her inflammatory markers were elevated. Computed tomography showed effusion in the perihepatic and hepatorenal spaces, right paracolic sulcus and pelvis, as well as exudative changes in the right iliac fossa. Ultrasound-guided puncture revealed a slightly turbid yellow-green fluid. Laparoscopic exploration showed a swollen appendix with surrounding pus moss and no abnormalities of the digestive anastomosis or stump; thus, laparoscopic app
Acute appendicitis in the short term after radical gastrectomy needs to be differentiated from duodenal stump leakage, and early diagnosis and surgery are the most important means of treatment.
Core Tip: Common forms of abdominal inflammation occurring after radical gastrectomy are cholecystitis and pancreatitis, of which cholecystitis has the highest incidence. In contrast, the incidence of appendicitis in the short term after radical gastrectomy is rare and has not been reported before. Herein, we present a case of acute appendicitis in the short term following radical total gastrectomy. We suggest that acute appendicitis in the short term after gastric cancer surgery needs to be differentiated from duodenal stump leakage and that early diagnosis and surgery are the most important means of treatment.