A case report of recurrent appendicitis, 40 years after appendectomy is presented. In the present case, we failed to diagnose stump appendicitis preoperatively due to the existence of the lipohyperplasia of the ileocecal valve which showed features of ileocolic intussusception causing right lower abdominal pain and nausea. Inflammation of the appendiceal stump after appendectomy is a rare complication, but in the assessment of patients with lower quadrant abdominal pain who have previously undergone appendectomies, stump appendicitis should be considered