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Management of the Appendiceal Mass
Barry Foran, MD;
Thomas V. Berne, MD;
Leonard Rosoff, MD
Arch Surg. 1978;113(10):1144-1145.
Abstract
• The records of forty-three patients with clinically diagnosed appendiceal abscess were reviewed to compare operative vs nonoperative therapy. Thirteen patients were operated on shortly after admission. Eleven of these had appendectomy or drainage of an abscess; two patients had right hemicolectomy. There were no serious complications, and median hospitalization was 7.2 days.
Thirty patients were initially treated nonoperatively. Twenty-six of these did well and were discharged a median of 11 days after admission. Four patients required operations for failure to respond. One patient died of a pulmonary embolism. Four patients returned with recurrent appendicitis and underwent appendectomy. Three patients were later found to have other disease processes.
Good results can be obtained with either form of therapy. Patients not operated on should be examined to exclude lesions masquerading as appendiceal abscesses.
(Arch Surg 113:1144-1145, 1978)
Author Affiliations
From the Department of Surgery, University of Southern California School of Medicine, Los Angeles, and the Los Angeles County-University of Southern California Medical Center.
Footnotes
Accepted for publication March 30, 1978.
Read before the Southern California Chapter of the American College of Surgeons, Santa Barbara, Calif, Jan 20, 1978.
Reprint requests to Department of Surgery, Los Angeles County-University of Southern California Medical Center, 1200 N State St, Los Angeles, CA 90033 (Dr Berne).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Riseman and Wichterman
Arch Surg 1989;124:1043-1044.
ABSTRACT
Appendiceal Abscess
Paull and Bloom
Arch Surg 1982;117:1017-1019.
ABSTRACT
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