Familial mediterranean fever surgery

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Familial Mediterranean Fever Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Surgical intervention is not recommended for the management of familial mediterranean fever. However, since peritonitis is one of the most common manifestations of this disorder, it should be differentiated from other possible causes requiring surgical intervention.

Indications

The mainstay of treatment for familial mediterranean fever is medical therapy. Surgery is usually reserved for patients with either:[1]

One study suggested prophylactic appendectomy to avoid unnecssary emergency surgery in this patients.[2]

References

  1. Aharoni, D.; Hiller, N.; Hadas-Halpern, I. (2000). "Familial Mediterranean fever: abdominal imaging findings in 139 patients and review of the literature". Abdominal Imaging. 25 (3): 297–300. doi:10.1007/s002610000006. ISSN 0942-8925.
  2. Reissman P, Durst AL, Rivkind A, Szold A, Ben-Chetrit E (1994). "Elective laparoscopic appendectomy in patients with familial Mediterranean fever". World J Surg. 18 (1): 139–41, discussion 141–2. PMID 8197770.