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Management of Appendicitis Presenting with Abscess or Mass
PURPOSE: Management strategy in acute appendicitis patients initially presenting with abscess or mass is surrounded with controversy. This study was performed to identify the outcomes of management for this condition. METHODS: We retrospectively analyzed prospectively registered 76 patients (male:fe...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Society of Coloproctology
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017977/ https://www.ncbi.nlm.nih.gov/pubmed/21221242 http://dx.doi.org/10.3393/jksc.2010.26.6.413 |
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author | Kim, Jeong-Ki Ryoo, Seungbum Oh, Heung-Kwon Kim, Ji Sun Shin, Rumi Choe, Eun Kyung Jeong, Seung-Yong Park, Kyu Joo |
author_facet | Kim, Jeong-Ki Ryoo, Seungbum Oh, Heung-Kwon Kim, Ji Sun Shin, Rumi Choe, Eun Kyung Jeong, Seung-Yong Park, Kyu Joo |
author_sort | Kim, Jeong-Ki |
collection | PubMed |
description | PURPOSE: Management strategy in acute appendicitis patients initially presenting with abscess or mass is surrounded with controversy. This study was performed to identify the outcomes of management for this condition. METHODS: We retrospectively analyzed prospectively registered 76 patients (male:female = 39:37; mean age, 50.8 years) with appendicitis presenting with abscess or mass over a 9-year period at the Seoul National University Hospital. Patients were divided into three groups (emergency operation group, delayed operation group, and follow-up group), and clinical characteristics and outcomes of treatment were investigated. RESULTS: Twenty-eight patients (36.8%) underwent an emergency operation. Of the remaining 48 patients, 20 (41.7%) were initially treated with conservative management through the use of antibiotics only; the other 28 (58.3%) with and additional ultrasound-guided percutaneous drainage of the abscess. Twenty-six (54.2%) patients underwent planned operations after conservative management, and 22 (45.8%) were followed without surgery (median duration, 37.8 month), of which 3 (13%) underwent an appendectomy due to recurrent appendicitis (mean of 56.7 days after initial attack). There were no statistical differences in types of operation performed (appendectomy or ileocecectomy), postoperative complications, and postoperative hospital stay among the patients who underwent emergency operations, delayed operations and operations for recurrence during follow-up. CONCLUSION: Although the recurrence rate was relatively low after conservative management for appendicitis patients presenting with abscess or mass, there was no difference in surgical outcome between the emergent, elective, or recurrent groups. Our results indicate that proper management of appendicitis with abscess or mass can be selected according to surgeon's preference. |
format | Text |
id | pubmed-3017977 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | The Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-30179772011-01-10 Management of Appendicitis Presenting with Abscess or Mass Kim, Jeong-Ki Ryoo, Seungbum Oh, Heung-Kwon Kim, Ji Sun Shin, Rumi Choe, Eun Kyung Jeong, Seung-Yong Park, Kyu Joo J Korean Soc Coloproctology Original Article PURPOSE: Management strategy in acute appendicitis patients initially presenting with abscess or mass is surrounded with controversy. This study was performed to identify the outcomes of management for this condition. METHODS: We retrospectively analyzed prospectively registered 76 patients (male:female = 39:37; mean age, 50.8 years) with appendicitis presenting with abscess or mass over a 9-year period at the Seoul National University Hospital. Patients were divided into three groups (emergency operation group, delayed operation group, and follow-up group), and clinical characteristics and outcomes of treatment were investigated. RESULTS: Twenty-eight patients (36.8%) underwent an emergency operation. Of the remaining 48 patients, 20 (41.7%) were initially treated with conservative management through the use of antibiotics only; the other 28 (58.3%) with and additional ultrasound-guided percutaneous drainage of the abscess. Twenty-six (54.2%) patients underwent planned operations after conservative management, and 22 (45.8%) were followed without surgery (median duration, 37.8 month), of which 3 (13%) underwent an appendectomy due to recurrent appendicitis (mean of 56.7 days after initial attack). There were no statistical differences in types of operation performed (appendectomy or ileocecectomy), postoperative complications, and postoperative hospital stay among the patients who underwent emergency operations, delayed operations and operations for recurrence during follow-up. CONCLUSION: Although the recurrence rate was relatively low after conservative management for appendicitis patients presenting with abscess or mass, there was no difference in surgical outcome between the emergent, elective, or recurrent groups. Our results indicate that proper management of appendicitis with abscess or mass can be selected according to surgeon's preference. The Korean Society of Coloproctology 2010-12 2010-12-31 /pmc/articles/PMC3017977/ /pubmed/21221242 http://dx.doi.org/10.3393/jksc.2010.26.6.413 Text en © 2010 The Korean Society of Coloproctology http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Jeong-Ki Ryoo, Seungbum Oh, Heung-Kwon Kim, Ji Sun Shin, Rumi Choe, Eun Kyung Jeong, Seung-Yong Park, Kyu Joo Management of Appendicitis Presenting with Abscess or Mass |
title | Management of Appendicitis Presenting with Abscess or Mass |
title_full | Management of Appendicitis Presenting with Abscess or Mass |
title_fullStr | Management of Appendicitis Presenting with Abscess or Mass |
title_full_unstemmed | Management of Appendicitis Presenting with Abscess or Mass |
title_short | Management of Appendicitis Presenting with Abscess or Mass |
title_sort | management of appendicitis presenting with abscess or mass |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017977/ https://www.ncbi.nlm.nih.gov/pubmed/21221242 http://dx.doi.org/10.3393/jksc.2010.26.6.413 |
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