{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:29:43Z","timestamp":1777447783918,"version":"3.51.4"},"reference-count":3,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T00:00:00Z","timestamp":1622332800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>A 25-year-old man presented with right lower quadrant abdominal wall erythema, a punctum of purulence, and localized pain at the site of a previous appendicostomy. Cross-sectional imaging revealed appendicitis at his previous appendicostomy with a fecalith near the skin. He was managed with appendectomy. The surgical approach mimicked a loop ileostomy reversal by circumferentially dissecting the tissue around the appendicostomy to the level of the fascia and then dividing the appendix at the base of the cecum through a small two-centimeter incision. Appendicitis in a previous appendicostomy is uncommon and has only been described in three previous case reports (two adults and one child) and was surgically approached through a low-midline laparotomy. Our case is unique as it is an uncommon presentation of a common disease managed with a minimally invasive approach not previously described.<\/jats:p>","DOI":"10.1177\/00031348211023405","type":"journal-article","created":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T21:03:50Z","timestamp":1622408630000},"page":"2059-2060","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Appendicitis in an Appendicostomy"],"prefix":"10.1177","volume":"89","author":[{"given":"Maggie E.","family":"Bosley","sequence":"first","affiliation":[{"name":"Department of Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlee E.","family":"Stutsrim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica L.","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,30]]},"reference":[{"key":"bibr1-00031348211023405","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.02.010"},{"key":"bibr2-00031348211023405","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-010-0672-2"},{"key":"bibr3-00031348211023405","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.34481"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211023405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348211023405","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211023405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:35:47Z","timestamp":1777379747000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348211023405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,30]]},"references-count":3,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/00031348211023405"],"URL":"https:\/\/doi.org\/10.1177\/00031348211023405","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,30]]}}}