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Pan Afr Med J. Jan 8; doi: /pamj eCollection [Appendicular plastron: emergency or deferred surgery: a series of. After successful nonsurgical treatment of an appendiceal mass, the true diagnosis is uncertain in some cases and an underlying diagnosis of cancer or Crohn’s. mechanisms and form an inflammatory phlegmon Complicated appendicitis was used to describe a palpable appendiceal mass, phlegmon.

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Classification of surgical complications: Laparoscopic appendectomy for perforated appendicitis. The patients treated with drainage are those who had drainage without appendectomy of an abscess either percutaneously or by surgical exploration.

[Evolutive particularities of appendicular plastron in children].

apendiculsr J R Coll Surg Edinb. J Indian Med Assoc. Ultraconservative management of appendiceal abscess. This report aims at reviewing the treatment options of these patients, with emphasis on the success rate of nonsurgical treatment, the need for drainage of abscesses, the risk of undetected serious disease, and the need for interval appendectomy to prevent recurrence.

Should computed tomography and ultrasonography be implemented as a routine work-up for patients with suspected acute appendicitis in a regional hospital?

Interobserver variation in the assessment of appendiceal perforation.

Meta-analysis of randomized trials comparing antibiotic therapy with appendectomy for acute uncomplicated no abscess or phlegmon appendicitis. From the appendicular processes, 10 patients were diagnosed of appendicular plastron, which means 6.

Diagnostic accuracy of magnetic resonance imaging: Influence of preoperative computed tomography on patients undergoing appendectomy. Is there a role for interval appendectomy in the management of acute appendicitis? Diagnostic value of hyperbilirubinemia as a predictive factor for appendiceal perforation in acute appendicitis. Acute appendicitis is inflammation of the vermiform appendix and remains the most common cause of the acute abdomen in young adults.


The recurrence rate of appendiceal pathology if appendicectomy is not performed is central to the debate over the use of routine interval appendicectomy.

Abboud B designed the research; Tannoury J and Abboud B performed the research, analysed the data and wrote the paper. Management of appendiceal masses. Please review our privacy policy.

[Medical and/or surgical treatment of appendicular mass and appendicular abscess in children].

Published online Jul 7. The management of appendiceal mass in children: Ann R Coll Surg Engl ; This suggests that diagnostic imaging should be used more frequently in children, in patients with a long duration of symptoms, and in patients with a palpable mass.

A prospective, comparative trial. A review of a large, prospectively gathered database of general surgical procedures in Washington state has found the negative appendectomy rate to be 9. Circumscribed appendiceal inflammation is common and often undiagnosed preoperatively.

The average operative time was 72 min range min. Antibiotics versus appendectomy in the management of acute appendicitis: There is no association between the need for drainage and patient age. However, increasing concerns over the potentially hazardous effects of ionizing radiation associated with CT pllastron made MRI the study of choice to evaluate pregnant women and children with symptoms of appendicitis and equivocal US findings.


A defect in the enhancing appendiceal wall has the highest sensitivity The majority of recurrences occur within 6 mo after initial hospital stay.

One prospective study[ 7 ] has randomized patients to primary nonsurgical treatment followed by delayed or interval or no appendectomy. Laparoscopy in children with complicated appendicitis. Pregnant patients suspected of having acute appendicitis: J Korean Surg Soc. New efficient antibiotics have also given new opportunities for nonsurgical treatment of appendicitis[ 16 – 21 ]. Conservative treatment is most effective when administered within 12 plsatron of symptom onset, ideally within the first 6 h[ 16 – 2129 – 33 ].

Skoubo-Kristensen E, Hvid I.

[Medical and/or surgical treatment of appendicular mass and appendicular abscess in children].

By tradition, this follow-up consists of colonoscopy or a barium study of the colon, but a virtual colonoscopy, CT scan, or US is probably more accurate to detect malignant conditions outside the colon or CD.

It is also more common in children than in adults as shown by the trend of 8. The risk of perforation is negligible within the first 12 h of untreated symptoms, but then increases to 8.

Emergency appendectomy shouldn’t be performed in patients with appendicular plastron because it increases the risks of morbidity.