Perforated appendix with abscess: Immediate or interval appendectomy? Some examples to explain our choice

Edoardo Guida, Federica Pederiva, Massimo Di Grazia, Daniela Codrich, Maria Antonietta Lembo, Maria Grazia Scarpa, Waifro Rigamonti

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: There are no clear guidelines in the treatment of a perforated appendicitis associated with periappendiceal abscess without generalized peritonitis. PRESENTATION OF CASES: We retrospectively studied six examples of treated children in order to discuss the reasons of our team's therapeutic approach. Some children were treated with a conservative antibiotic therapy to solve acute abdomen pain, planning a routine interval appendectomy after some months. Others, instead, underwent an immediate appendectomy. DISCUSSION: By examining these examples we wanted to highlight how the first approach may be associated with shorter surgery time, fewer overall hospital days, faster refeeding and minor complications. CONCLUSION: Our team's therapeutic choice, in the case of a perforated appendicitis with an abscess and coprolith is an initial conservative case management followed by a routine interval appendectomy performed not later than 4 months after discharge.

Original languageEnglish
Pages (from-to)15-18
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume12
DOIs
Publication statusPublished - May 16 2015

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Keywords

  • Abscess
  • Acute appendicitis
  • Antibiotic therapy
  • Appendicolith
  • Interval appendectomy

ASJC Scopus subject areas

  • Surgery

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