Appendicitis with a Palpable Mass

J, Jordan; Kovalcik, Paul J.; Schwab, C. William

doi:10.1097/00000658-198102000-00018

Cited by 85 publications

(78 citation statements)

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“…Nonetheless, several previous studies reported high success rates of 76 to 97 % and a low incidence of postoperative complications after conservative management of patients with appendicitis associated with Fig. 1 Outcomes of patients with acute pediatric perforated appendicitis with abscess abscess [3,[8][9][10][11]. In our series, the success rate of 87.5 % without postoperative complications is consistent with those of previously published reports and appendicitis recurrence occurred in two patients before interval appendectomy.…”

Section: Discussionsupporting

confidence: 91%

“…Emergency surgery in such patients has been associated with an increased risk of postoperative complications, especially wound infection [3]. In our series, although appendectomy was successfully performed in all of 15 (100 %) patients, postoperative intra-abdominal abscess was detected in 5 (33.3 %), wound infection in 6 (40 %), and small bowel obstruction in 2 (13.3 %) patients.…”

Section: Discussionmentioning

confidence: 62%

“…Emergency operation for perforated appendicitis with abscess is associated with an increased risk of complications, particularly wound infection [3]. Therefore, in patients suspected of having appendicitis with abscess, instead of the traditional emergency operation, the current trend favors conservative management consisting of ultrasound-guided percutaneous drainage and antibiotic treatment followed by interval appendectomy.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

et al. 2014

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The management of patients with acute perforated appendicitis with abscess is controversial. The aim of the present study was to assess the outcomes of treatment in patients with this condition. We retrospectively analyzed 31 patients (16 men and 15 women with a mean age of 8.4 years) with appendicitis presenting with abscess. Patients were divided into two groups (emergency operation group and interval operation group), and clinical characteristics and outcomes of treatment were investigated. On presentation, no differences in gender, age, body weight, duration of symptoms, temperature, white blood cell count, C-reactive protein level, or maximum size of the abscess in the axial view were detected between the two groups. Fifteen patients (48.4 %) underwent emergency surgery. The remaining 16 patients (51.6 %) were initially treated conservatively with antibiotics. All 16 patients underwent planned operations after receiving conservative treatment, and two (12.5 %) of these patients underwent appendectomy before the planned operation day because of recurrent appendicitis without abscess. There were no differences in the length of hospital stay. In the emergency operation group, six (40 %) patients presented with wound infection and four (26.7 %) developed a postoperative intra-abdominal abscess. No infective complications were reported in the interval operation group. Interval appendectomy after conservative treatment of pediatric ruptured appendicitis with abscess significantly reduced postoperative infection rates.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

et al. 2014

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“…The definitive treatment of acute appendicitis is appendicectomy. If timely appendicectomy is not done, the patients develop a mass in the right iliac fossa (Appendicular mass) as one of the early complications [4,5]. Management of an appendicular mass is controversial with three general approaches usually employed [6,7].…”

Section: Introductionmentioning

confidence: 99%

Appendicular Mass: A Conservative Approach

Koirala¹,

Thakur²,

Agrawal³

et al. 2016

J Nobel Med Coll

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IntroductionAppendicular mass is one of the most common complications following acute appendicitis and seen in 2-6% of the patients. The treatment of appendicular mass is controversial with three general approaches. The aim of this study is to evaluate outcome of conservative approach. Material & MethodsA retrospective analysis of the patients managed with appendicular mass from 1st January to 31 st December 2014 was carried out in NMCTH, Biratnagar. A total of 173 patients with diagnosis of appendicular mass admitted in emergency and OPD of our hospital were studied. All age groups and both sex were included. ResultsOut of 496 patients with appendicitis, 173 patients [34.87%] were diagnosed with appendicular mass. Age range of the patient in the study varied between 4-84 years and maximum patients found in the age group of 21-30 years. Onset of symptoms was between 2-6 days and greater number of patients reporting between 5-6 days. During study period 10(5.7%) patients came with recurrence, 9 [5.2%] developed abscess, 35(20.23%) patients came for interval appendicectomy, whereas 119 [68.78%] failed to come for a follow up. Conclusion Our study concluded that the appendicular mass can be managed successfully by conservative approach, although few complications may arise which can be managed by surgical intervention.

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“…[15,16] It can cause dissemination of infection, intestinal injury and fecal fistula. Kumar et al [17] reported longer operation time, higher incidence of adhesions and incision extension with more postoperative complications for early appendectomy in appendiceal mass.…”

Section: Discussionmentioning

confidence: 99%

Immediate appendectomy for appendiceal mass

Kaya¹,

Sana²,

Eris³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇBu retrospektif çalışmanın amacı, apendiküler kitle tespit edilen hastalarda erken apendektominin güvenirliğini ve etkinliğini araştırmaktır. GEREÇ VE YÖNTEMVakıf Gureba Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği'ne Ocak 2004 ile Nisan 2010 tarihleri arasın-da başvuran 47 hasta apendiküler kitle nedeni ile 24 saat içerisinde ameliyat edildi. Apendiküler kitle tanısı fiziksel inceleme, karın ultrasonografisi, bilgisayarlı tomografi ya da ameliyat sırasında konuldu. Yaş ve cinsiyet, semptomların süresi, başvuruda fiziksel inceleme bulguları, ameliyat bulguları, intraoperatif ve postoperatif komplikasyonlar ile hastanede yatış süresi her hasta için analiz edildi. BULGULARÇalışmaya 25 erkek (%53,2) ve 22 kadın (%46,8) hasta alındı. Ortalama yaş 37,23±15,60 (dağılım 14-75 yaş) idi. Semptomların başlaması ile ameliyat arasında geçen ortalama zaman 4,06±2,50 gündü (dağılım 1-15 gün). Apendektomi 38 hastada (%80,9) uygulandı. Yirmi dokuz hasta (%61,8) cerrahi sonrası herhangi bir komplikasyon olmaksızın taburcu edildi. Yara yeri enfeksiyonu 13 hastada (%27,7) saptandı. SONUÇErken apendektomi, apandiküler kitlelerde konservatif tedaviye alternatif güvenli ve etkili bir yöntemdir.Anahtar Sözcükler: Apandisit; apendiküler kitle; erken apendektomi.

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Appendicitis with a Palpable Mass

Cited by 85 publications

References 1 publication

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

Appendicular Mass: A Conservative Approach

Immediate appendectomy for appendiceal mass

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