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Appendicitis despite Previous Appendicectomy

When a patient presenting with right iliac fossa pain, tenderness and guarding has had a previous appendicectomy, the possibility of appendicitis is frequently dismissed. The clinical features will usually be explained by other diagnoses or resolve without any untoward consequences. Two patients with a history of previous appendicetomy and the scars of a right iliac fossa appendicectomy incisions were found at laparotomy to have acute appendicitis.