Appendicular abscess: Difference between revisions

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*[[Abdominal X-ray|Plain abdominal radiography]] is not the most useful tool in making a diagnosis of appendicular abscess.
*[[Abdominal X-ray|Plain abdominal radiography]] is not the most useful tool in making a diagnosis of appendicular abscess.


===Surgery===
====Emergency appendectomy====
Indications:
*When patients present with life-threatening signs of [[peritonitis]]
*large appendiceal abscess,
*In patients with an extraluminal [[appendicolith]].
====Interval Appendectomy====
Following drain and antibiotics an [[Appendectomy|interval appendectomy]] is recommended for patients after six to eight weeks, it is done to :
*Prevent recurrence of [[Appendicitis|appendicitis.]]<ref name="pmid21540609">{{cite journal |vauthors=Ansaloni L, Catena F, Coccolini F, Ercolani G, Gazzotti F, Pasqualini E, Pinna AD |title=Surgery versus conservative antibiotic treatment in acute appendicitis: a systematic review and meta-analysis of randomized controlled trials |journal=Dig Surg |volume=28 |issue=3 |pages=210–21 |year=2011 |pmid=21540609 |doi=10.1159/000324595 |url=}}</ref>
*Exclude [[neoplasms]] as a cause (such as [[Carcinoid|carcinoid,]] [[adenocarcinoma]], [[mucinous cystadenoma]], and [[Cystadenocarcinoma|cystadenocarcinomas]])
Complications of interval appendectomy
*[[Infection|Wound Infection]] ([[sepsis]]) 
*[[Pelvic abscess]]
*[[Aspiration pneumonia]]
Late complication
*[[Adhesions|Abdominal adhesions]]
*Fecal fistula<ref name="pmid22451186">{{cite journal |vauthors=Singal R, Gupta S, Mittal A, Gupta S, Singh M, Dalal AK, Goyal S, Singh B |title=Appendico-cutaneous fistula presenting as a large wound: a rare phenomenon-brief review |journal=Acta Med Indones |volume=44 |issue=1 |pages=53–6 |year=2012 |pmid=22451186 |doi= |url=}}</ref>
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==Prevention==
==Prevention==

Revision as of 18:28, 2 March 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Diagnosis

Electrocardiogram

There are no clear indications to obtain an ECG in patients with appendicular abscess.

X-Ray


Prevention

Primary Prevention

There are no primary preventive measures available for appendicular abscess. Reducing the risk of appendicitis however, can help in the first place .Following a diet that includes fresh vegetables and fruit may lower the risk.[1]

Secondary prevention

Peritonitis develops from the rupturing of the appendix and can lead to death is left untreated. Acute appendicitis that is evaluated and treated early with an appendectomy generally leads to no further complications and a patient's full recovery.


References

  1. Williams, Norman (2013). Bailey & Love's short practice of surgery. Boca Raton, FLa: CRC Press. ISBN 978-1444121285.