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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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Antibiotic therapy versus appendectomy for acute appendicitis: Br J Clin Pract.

[Evolutive particularities of appendicular plastron in children].

The most common operative complications are wound infection, intra-abdominal abscess, and ileus caused by intra-abdominal adhesions Dindo et al[ 34 ] classificationwhich vary in frequency between open and laparoscopic appendectomy. We have assessed the following parameters: Is there a role for interval appendectomy in the management of acute appendicitis?

That study has concluded that unless abscess or extraluminal gas is present multidetector CT cannot establish the diagnosis of perforation[ 63 ]. The management of adult patients with inflammatory appendiceal masses is controversial. Abstract At present, the treatment of choice for uncomplicated acute appendicitis in adults continues to be surgical.

The appendectomy in a second term was carried out in 7 cases. Indications of drainage are absence of generalized peritonitis and presence of percutaneously or surgically drainable abscess[ 75 – 78 ]. Differentiation of nonperforated from perforated appendicitis: Contemporary management of the appendiceal mass.

Treatment options of inflammatory appendiceal masses in adults

Perforated and nonperforated appendicitis: Detecting a defect in the enhancing appendiceal wall by using cine mode display of transverse thin-section CT images allows Zhonghua Yixue Zazhi Taipei ; Nonsurgical treatment is associated with lower morbidity and shorter hospital stay compared with immediate appendectomy. Malignant disease was detected during follow-up in 1.

Computed tomography in the diagnosis of acute appendicitis: The results of primary nonsurgical treatment followed by delayed appendectomy during the same hospital stay have been compared with those of interval appendectomy and with or without surgical intervention wk later interval appendectomy [ 80 – 88 ].


Indirect signs bowel wall thickening, ascites, ileal wall enhancement, intraluminal air, and combined intraluminal air and appendicolith are also found with higher incidence in appendiceal perforation[ 1353546163 ].

Our study plastrpn to evaluate the outcome of the surgical treatment of appendicular plastron after deferred or emergency appendectomy. Comparative evaluation of conservative management versus early surgical intervention in appendicular mass–a clinical study. Interval laparoscopic appendectomy in children. Published online Jul 7. However, noncontrast MRI provides detailed images, which usually provide the correct diagnosis.

J Am Coll Surg. Management of appendiceal masses in a peripheral hospital in Nigeria: The patients treated with drainage are those who apenicular drainage without appendectomy of an abscess either percutaneously or by surgical exploration. Intraluminal appendiceal air in the setting of acute appendicitis is a marker of perforated or necrotic appendicitis. Author information Article notes Copyright and License information Disclaimer.

J R Coll Surg Edinb. Perforated appendicitis among rural and urban patients: Consensus conference on laparoscopic appendectomy: The real concern is whether leaving the appendix in situ will prevent the detection of a cecal carcinoma or an ileal or appendicular malignancy[ 27 ].

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

There were 30 males and 18 females, with ages ranging years mean 9 years. MRI is more useful than US in obese patients and in patients with a retrocecal appendix, which is difficult to visualize plaston US. Impact of time in the development of acute appendicitis. As the epithelial mucosal barrier becomes compromised, luminal bacteria multiply and invade the appendiceal wall, which causes transluminal inflammation.

The appendix on CT. Intraluminal air within an obstructed appendix: The average age of patients was plaztron years, ranging between 19 and 57 years. Is there still a place for interval appendectomy? Ultraconservative management of appendiceal abscess. Laparoscopic interval appendectomy for periappendicular abscess. Although MRI may be used in any patient with suspected acute appendicitis, there is a special role for MRI in pregnant women with new-onset abdominal pain.


Laparoscopic appendectomy is the preferred approach for appendicitis: Surgery versus conservative antibiotic treatment in acute appendicitis: All studies have reported a low failure rate for nonsurgical treatment without appendectomy; some of them even without giving antibiotics[ 75 – 80 ]. It is also worth recalling that the appendix is used in reconstructive surgery.

Antibiotics versus appendectomy in the management of acute plastroon Table showing laparoscopy fi ndings, operative diffi culties and complications Click here plsstron view.

The risk of perforation is negligible within the first 12 h of untreated symptoms, but then increases to 8. Based on these findings, CT scans seem to have significant benefit in the evaluation of patients with suspected acute appendicitis, to exclude other pathology, in selected patients such as elderly people[ 5270 ]. The diagnosis of enclosed inflammation is made by finding a palpable mass at clinical examination before or after anesthesia, or by finding an inflammatory mass apendicula a circumscribed abscess by CT, US or at surgical exploration of the abdomen.

Recurrence is characterized by a milder course than the primary attack in most cases. However, increasing concerns over the potentially hazardous effects of apedicular radiation associated with CT have made MRI the study of choice to evaluate pregnant women and qpendicular with symptoms of appendicitis and equivocal US findings.