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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There was no difference in relation to how the diagnosis was done. Findings of an plaastron abscess include:. Acute appendicitis on abdominal MR images: Laparoscopic management of appendicular mass.

[Evolutive particularities of appendicular plastron in children].

Computed tomography-based clinical diagnostic pathway for acute appendicitis: Case 4 Case 4. Acute appendicitis is inflammation of the vermiform appendix and remains the most common cause of the acute abdomen in young adults. Moreover, if appendicectomy is not performed, consideration needs to be given to what investigations should be undertaken and in which patients. One prospective study[ 7 ] has randomized patients to primary nonsurgical treatment followed by delayed or interval or no appendectomy.

Is early laparoscopic appendectomy feasible in children with acute appendicitis presenting with an appendiceal mass? However, it is recognized that this is not without increased cost, radiation exposure and a potential delay in diagnosis.

Most perforated appendicitis give way to generalized peritonitis and cannot be drained. Management of appendiceal masses in a peripheral hospital in Nigeria: Impact of time in the development of acute appendicitis. Intraluminal air within an obstructed appendix: The failure rate for all the studies was 7.


Several studies have examined the microscopic changes in the interval appendicectomy specimen. Check for errors and try again. Laparoscopic appendectomy for perforated appendicitis. 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.

Pregnant patients appendicularr of having acute appendicitis: The major area of debate is regarding which patients suspected of having acute appendicitis should have a CT scan before appendectomy. In patients with an appendiceal mass, the authors have concluded that conservative treatment without plastdon appendicectomy is the best treatment. J Min Access Surg ; The patient should receive primary nonsurgical treatment with antibiotics and abscess drainage as needed.

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.

The debate arises over the importance of the complication rate of interval appendicectomy.

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

Ultrasound is the first investigation advised to evaluate a suspected appendicular pathology. Early appendicectomy has been found to be a safe and better alternative for management of appendicular mass in various studies in adults, while very few studies report such advantages in the paediatric population. Clinical signs were dominated by pain in the right iliac fossa and fever in 25 Eriksson S, Styrud J. Immediate surgery is associated with morbidity in There were 30 males and 18 females, with ages ranging years mean 9 years.


Br J Clin Pract.

[Evolutive particularities of appendicular plastron in children].

The concern of failing to diagnose a rare case of appendiceal malignancy without interval appendicectomy may persist even with colonic investigation, although it is likely that these patients will have recurrent symptoms[ 99 – ]. Based on these findings, CT scans seem to have significant benefit in the evaluation of patients with plastrln acute appendicitis, to exclude other pathology, in selected patients such as elderly people[ 5270 ].

Skoubo-Kristensen E, Hvid I. The majority of recurrences occur within 6 mo after initial hospital stay. CD was detected in 0. Influence of preoperative appndicular tomography on patients undergoing appendectomy. Pitfalls in the CT diagnosis of appendicitis. Still a taboo, or time for a change in surgical philosophy?.

Disconnect between incidence of nonperforated and perforated appendicitis: Three cases still await operation. The management of appendiceal mass in children: The average age of patients was 33 years, ranging between 19 and 57 years.

Abboud B designed the research; Tannoury J and Abboud B performed the research, analysed the data and wrote the paper.