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By Prof. Kumara Dissanayake (D. M. A. Kumara), Professor in Gynaecological Endoscopy, Rajarata University of Sri Lanka — Rajarata Gynaecological Endoscopy Center (RAGEC).
Dissanayake D, Jayarathna I. “The role of laparoscopy in gynaecological practice for diagnosis of stump appendicitis as a rare cause of chronic pelvic pain.” Sri Lanka Journal of Obstetrics and Gynaecology, 2021; 43(3).
Chronic pelvic pain is a common and often frustrating presentation, with a long list of possible causes. This report describes how diagnostic laparoscopy identified stump appendicitis — inflammation of a residual appendiceal stump left behind after a previous appendicectomy — as the unexpected source of a patient’s pain.
The case reinforces the value of laparoscopy in the work-up of chronic pelvic pain and reminds clinicians to keep a broad differential — including surgical causes outside the reproductive tract.
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