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Appendiceal Abscess Revisited
Edward L. Bradley, III, MD;
James Isaacs, MD
Arch Surg. 1978;113(2):130-132.
Abstract
• Appendiceal abscess developed in 2% of 2,621 patients with acute appendicitis seen between 1962 and 1976. While representing a commendable decline in frequency from earlier studies, in view of the demonstrated prolonged delay in seeking medical care, further decreases in incidence could be affected by increased patient education. Sixty-one of 68 patients underwent surgical drainage of the abscess, with a 28% complication rate. Interval appendectomy was performed in 42 cases, with a 19% complication rate. Two patients (3%) died. These rates do not differ appreciably from those reported during the preantibiotic era. Recurrent appendicitis developed in only one of 13 patients not undergoing interval appendectomy during a follow-up period averaging five years. Interval appendectomy should be withheld only in those poor-risk patients in whom the 10% to 20% incidence of recurrent appendicitis seems the smaller risk.
(Arch Surg 113:130-132, 1978)
Author Affiliations
From the Department of Surgery, Emory University School of Medicine, Atlanta.
Footnotes
Accepted for publication June 1, 1977.
Reprint requests to Department of Surgery, Emory University School of Medicine, 69 Butler St SE, Atlanta, GA 30303 (Dr Bradley).
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ABSTRACT
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