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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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Right-sided hemicolectomy for suspicion of a malignant disease or for technical reasons, but where only inflammatory changes could be found at histopathological examination, has been reported in 17 of adult patients. It then decreases to 1. Antibiotic therapy versus appendectomy for acute appendicitis: In those cases of conservative treatment, do we always have to carry out a delayed appendectomy?

Kumar S, Jain S.

Treatment options of inflammatory appendiceal masses in adults

Computed tomography in the diagnosis of acute appendicitis: In these articles, the routine use of imaging has not been shown to decrease the rate of negative appendectomy, and may actually delay the diagnosis and appropriate intervention in cases of acute appendicitis. Differentiation of perforated from nonperforated appendicitis at CT. Zhonghua Yixue Zazhi Taipei ; Is there still a place for interval appendectomy?

Management of appendiceal masses. Delayed appendectomy[ 89 – 93 ] is associated with morbidity in A proper antibiotic treatment always solves the sharp symptoms. Is laparoscopic appendectomy appropriate?

[Evolutive particularities of appendicular plastron in children].

The patient should receive primary nonsurgical treatment with antibiotics and abscess drainage as needed. Nonsurgical treatment is associated with lower morbidity and shorter hospital stay compared with immediate appendectomy.


J Min Access Surg ; Click on image for details. Moreover, if appendicectomy is not performed, consideration needs to be given to what investigations should be undertaken and in which patients. A new perspective in appendicitis: All patients undergoing emergency surgery were classified in Group I while those undergoing deferred surgery were classified in Group II.

Recently, the conditions for conservative management of these patients have changed due to the development of computed tomography apendicylar ultrasound, which has improved the diagnosis of enclosed inflammation and made drainage of intra-abdominal abscesses easier.

No significant difference has plasron found in the duration of first hospitalization, overall duration of hospital stay, and duration of intravenous antibiotics[ 79 ]. De U, Ghosh S. Perforated appendicitis may be treated first by conservative treatment or percutaneous abscess drainage with great improvement of the clinical symptoms[ 74 – 80 ]. There were 30 males and 18 females, with ages ranging years mean 9 years.

Short- and long-term results of open versus laparoscopic appendectomy.

Characteristics apensicular perforated appendicitis: Nonsurgical treatment of appendiceal abscess or phlegmon: Disconnect between incidence of nonperforated and perforated appendicitis: Nonoperative management of perforated appendicitis without periappendiceal mass.

Initial nonoperative management for periappendiceal abscess. Deferred appendectomy of appendicular plastron is a safe and efficient surgical procedure.

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

Although the etiology of acute appendicitis is poorly understood, it is probably caused apendicluar luminal obstruction in the majority of cases. Indications of drainage are absence of generalized peritonitis and presence of percutaneously or surgically drainable abscess[ 75 – 78 ].

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Interval appendicectomy after appendiceal mass or abscess in adults: CD was detected in 0. Bagi P, Dueholm S.

At first, do we have to follow a medical or a surgical treatment? Routine interval appendectomy is not justified plastfon initial nonoperative treatment of acute appendicitis.

Management of appendiceal masses in a peripheral hospital in Nigeria: From the appendicular processes, 10 patients were diagnosed of appendicular plastron, which means 6. A defect in the enhancing appendiceal wall has the highest sensitivity Efficiency of unenhanced MRI in the plastrno of acute appendicitis: Direct CT signs i.

J Indian Med Assoc. The need for interval appendectomy after successful nonsurgical treatment has recently been questioned because the risk of recurrence is relatively small[ 22 – 27 ].

Emergency appendectomy shouldn’t be performed in patients with appendicular plastron because it increases the risks of morbidity. Journal List World J Gastroenterol v. Outcomes after laparoscopic treatment of complicated versus uncomplicated acute appendicitis: The overall complication rates for open and laparoscopic appendectomy are respectively Classification of surgical complications: