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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Management of appendiceal mass: 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.

Appendectomy versus antibiotic treatment for acute appendicitis. The need for interval appendectomy after successful nonsurgical treatment has recently been questioned because the risk of recurrence is relatively small[ 22 – 27 ].

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. Efficiency of unenhanced MRI in the diagnosis of acute appenducular Log in Sign up. Outcomes after laparoscopic treatment of complicated versus uncomplicated acute appendicitis: The group with nonsurgical treatment without appendectomy had the lowest morbidity and the shortest length of stay.


[Evolutive particularities of appendicular plastron in children].

Support Radiopaedia and see fewer ads. 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.

Do we know how to treat it? Can Med Assoc J.

This risk was related to age at diagnosis with 0. Clinical signs were dominated by pain in the right iliac fossa and fever in 25 There are several articles in the literature that argue against routine preoperative imaging of patients with suspected acute appendicitis.

The management of appendiceal mass in children: CT has greater potential than US to reveal alternative diagnoses and complications, such as perforation and abscess formation.

[Evolutive particularities of appendicular plastron in children].

The average of days of evolution until the definitive diagnosis was 5 days between 1 and 10 days. Conservative aplendicular of appendix mass in children. No significant difference has been found in the duration of first hospitalization, overall duration of hospital stay, and duration of intravenous antibiotics[ 79 ]. However, the observation of spontaneous resolution of acute appendicitis cases and some reports of a good outcome in patients treated with antibiotics suggest that not all cases of acute appendicitis are caused by mechanical obstruction and progression to complicated disease.


The management of adult patients with inflammatory appendiceal masses is controversial. The proportion of all patients with appendicklar treated for enclosed inflammation is 3. Luminal obstruction can be caused by fecaliths, lymphoid hyperplasia, foreign bodies, parasites and both primary carcinoid, adenocarcinoma, Kaposi sarcoma and lymphoma and metastatic breast and colon tumors.

Treatment of appendiceal mass: World J Gastroenterol ; Enclosed inflammation is found more often in studies in which the diagnosis is based on CT or US than in those based on clinical diagnosis Complicated appendicitis–is the laparoscopic approach appropriate?

Emergency appendectomy shouldn’t be performed in patients with appendicular plastron because it increases the risks of morbidity. It then decreases to 1. One prospective study[ 7 ] has randomized patients to primary nonsurgical treatment followed by delayed or interval or no appendectomy.

Management of appendiceal masses in a peripheral hospital in Nigeria: Differentiation of perforated from nonperforated appendicitis at CT. Still a taboo, or time for a change in surgical philosophy?.

The use of US is particularly important in children and can be of use in premenopausal women[ 50 – 5258 ]. Cecectomy for complicated appendicitis.