TY - JOUR
T1 - Perforated appendix with abscess
T2 - Immediate or interval appendectomy? Some examples to explain our choice
AU - Guida, Edoardo
AU - Pederiva, Federica
AU - Di Grazia, Massimo
AU - Codrich, Daniela
AU - Lembo, Maria Antonietta
AU - Scarpa, Maria Grazia
AU - Rigamonti, Waifro
PY - 2015/5/16
Y1 - 2015/5/16
N2 - 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.
AB - 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.
KW - Abscess
KW - Acute appendicitis
KW - Antibiotic therapy
KW - Appendicolith
KW - Interval appendectomy
UR - http://www.scopus.com/inward/record.url?scp=84929297747&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929297747&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2015.05.003
DO - 10.1016/j.ijscr.2015.05.003
M3 - Article
AN - SCOPUS:84929297747
SN - 2210-2612
VL - 12
SP - 15
EP - 18
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -