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[Subacute appendicitis in children].

F Horn1, J Babala, L Pevalová

  • 1Klinika detskej chirurgie LFUK a DFNsP, Bratislava, Slovenská republika.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|December 22, 1999
PubMed
Summary
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Conservative management of periappendicular mass (PM) is effective for typical cases. Surgical intervention is recommended for complicated or diagnostically challenging acute appendicitis with PM.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Periappendicular mass (PM) occurs in 6% of acute appendicitis cases.
  • Management strategies for PM include immediate operation versus conservative treatment.

Purpose of the Study:

  • To compare the efficacy of operative versus conservative management for periappendicular mass (PM).

Main Methods:

  • A comparative study of 46 patients with acute appendicitis and PM.
  • Group A: 22 patients underwent immediate surgery.
  • Group B: 24 patients received conservative treatment with planned appendectomy.

Main Results:

  • Conservative treatment was successful in 24 patients, with 50% undergoing elective appendectomy.
  • Immediate surgery was performed for 22 patients due to complications or diagnostic uncertainty.

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  • Diagnostic errors (Crohn's disease, ovarian cyst) were noted in 2 patients initially suspected of having PM.

    • Conclusions:

    • Conservative management is effective for typical PM cases.
    • Appendectomy in the subacute phase is a safe option for complicated or diagnostically challenging PM.