Acute appendicitis and the appendix mass

McPherson, Ann; Kinmonth, J. B.

doi:10.1002/bjs.18003212705

Cited by 35 publications

(17 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The administration of preoperative antibiotic treatment can be used as a means of delaying appendectomy, particularly during twilight hours, while the incidence of perforation, complications, and hospitalization in children operated within 6 h was the same as that of those who underwent operation between 6 and 18 h after admission. 4 Conservative management of appendiceal mass has been advocated successfully [5][6][7][8][9][10][11] although some recommend interval appendicectomy 5,9 in case of a cecal neoplasm or recurrent appendicitis supervenes. Conservative treatment of acute appendicitis has been described in American submariners 12 and onboard Soviet ships at sea (247 13 There have been only a few prospective randomized trials.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Conservative Management of Acute Appendicitis

Malik

Bari

2009

Journal of Gastrointestinal Surgery

106

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Conservative Management of Acute Appendicitis

Malik

Bari

2009

Journal of Gastrointestinal Surgery

106

View full text Add to dashboard Cite

show abstract

“…In our two patients, laparotomy was indicated because appendectomy was also necessary. The necessity of urgent appendectomy in patients with perforation and a localized abscess or phlegmon is still controversial [28,29]. Appendectomy in this group is associated with a high morbidity, including wound infection, recurrent abscess, postoperative ileus, fecal fistula, and even occasional ureteral injuries [28].…”

Section: Discussionmentioning

confidence: 99%

Right perinephric abscess: a rare presentation of ruptured retrocecal appendicitis

et al. 2002

View full text Add to dashboard Cite

Perinephric abscess commonly arises from rupture of an intrarenal abscess into the perinephric space. It rarely results from gastrointestinal pathology. We report two pediatric patients with retrocecal appendicitis that presented with perinephric abscess. A 3-year-old girl presented with high fever and right flank pain for more than 1 week. Ultrasonography showed a right perinephric fluid collection with normal renal parenchyma and collecting system. A perinephric abscess extending from a ruptured retrocecal appendix was diagnosed by abdominal computed tomographic (CT) scan. Her hospital course was complicated with empyema, peritonitis, and pericardial effusion. A 6-year-old girl had lower abdominal pain for 3 days and high fever on the day of admission. Ultrasonography showed a right perinephric abscess with a normal renal contour and a fecalith in the enlarged appendix in the right lower quadrant of the abdomen. Appendectomy and drainage of the perinephric abscess were performed in both cases. We suggest that a ruptured retrocecal appendix must be considered in cases of perinephric abscess, especially in patients with gas bubbles in the abscess and a normal urogenital appearance. Ultrasonography and abdominal CT scan are the preferred diagnostic tools. Prolonged antibiotics and drainage of the abscess are mandatory to decrease morbidity and mortality.

show abstract

“…Since that time, early appendectomy has been established as a 'surgical dogma' widely accepted in the surgical community for the management of AA for more than 1 century (4-6). The first report was presented in 1945, whereas in 1959, Coldrey reported 471 unselected patients who underwent treatment with antibiotics alone with low mortality and morbidity rates (7,8). Of 500 patients with suspected acute appendicitis, 425 were treated conservatively, with use of traditional Chinese medicines and antibiotics in some (9).…”

Section: Discussionmentioning

confidence: 99%

Management Strategies of Appendix with Mild Inflammation

Haşlak¹,

Bahçe²,

Büyükkaya³

et al. 2014

Turk J Bioch

View full text Add to dashboard Cite

Özet AbstractAmaç: Akut apandisit tedavisi halen klinik bir tartışmadır. Bu çalışmada, erken akut apandisit tanısı alan hastalarda değişik tedavi yaklaşımlarını ve bunların takiplerini tartış-mayı amaçladık. Cerrahi yapılan grubun hepsinde patoloji sonuçları akut apandisit olarak geldi. Antibiyotik tedavi grubundan 2 hasta daha sonra tekrarlayan karın ağrısı şikayeti ile, biri 2 hafta sonra, diğeri ise 2 gün sonra tekrar hastaneye başvurdu ve bu hastalara apendektomi yapıldı, ancak patoloji raporlarında kronik apandisit bulgusu saptanmadı. Sonuç: Apendektomi erken akut apandisit düşünülen hastaların çoğunda gerekli değildir.Objective: In this study, we examined the cases with mild acute appendicitis and their treatments with different modalities and their follow up. Method: 45 patients were studied between August 2008 and January 2010, with further follow-up for 1 year. The patients were randomly allocated into three groups by systematic random sampling with an equal size of 15 to maintain balance. First group was appendectomy group, second was antibiotic group and third group was follow up (no treatment) group.Results: The median age of the patients was 25 (18-52) years. 34 (75.6%) were women and 11 (24.4%) were men. The mean white blood cell count was 7952±1698 /uL (4800-10700). The mean appendix wall thickness at ultrasonography was 5.46±0.35 (5,0-6,0) mm. There were no statistical difference detected between groups in age of patients, sex, white blood cell count and ultrasonography results (p=0.361, 0.894, 0.708 and 0.867). Of the patients who underwent surgery had proven appendicitis at histological examination. Two patients treated with antibiotics were readmitted with recurrent appendicitis, one patients after 2 weeks of treatment and one patient after 2 days of treatment and were subsequently operated in the second admission. However, no chronic findings were noted at histopathological examination. Conclusion:Most of the early acute appendicitis, there is no need for appendectomy. Anahtar Kelimeler: Akut apandisit, hafif inflamasyon, antibiyotikler, takip, konservatif tedavi.

show abstract

Acute appendicitis and the appendix mass

Cited by 35 publications

References 10 publications

RETRACTED ARTICLE: Conservative Management of Acute Appendicitis

RETRACTED ARTICLE: Conservative Management of Acute Appendicitis

Right perinephric abscess: a rare presentation of ruptured retrocecal appendicitis

Management Strategies of Appendix with Mild Inflammation

Contact Info

Product

Resources

About