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Stump appendicitis is a rare but serious complication that can occur after an appendectomy, characterized by inflammation and infection of the remaining portion of the appendix (1). Patients typically present with symptoms similar to those of appendicitis, such as abdominal pain, fever, and nausea. However, the diagnosis can be challenging because the patient has previously undergone an appendectomy, potentially leading to delays in treatment and increased risk of complications (1). In this case, a 38-year-old male, who had a smooth recovery following a laparoscopic appendectomy 15 years prior presented to the emergency department with worsening abdominal pain. Despite his initial postoperative recovery, he developed stump appendicitis, as confirmed by a CT scan. The condition was managed with antibiotics and a percutaneous drain, leading to significant improvement. He is now scheduled for a completed appendectomy to remove the remaining appendix stump. This case highlights the critical importance of including stump appendicitis in the differential diagnosis for patients with a history of appendectomy who present with acute abdominal pain. Timely diagnosis and intervention are essential to prevent complications and ensure appropriate management.