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Let It Chill: The Role of Interventional Radiology in Complicated Appendicitis. A Case Report
Aldo Javier Vázquez Mézquita1, Estefanía Murrieta Peralta1, Jorge Ramírez Landero1
1Radiology and Molecular Imaging, The American British Cowdray Medical Center, Mexico City, MEX.
Cureus
|August 20, 2019
Summary
Appendicitis with abscess can be managed conservatively. Ultrasound-guided drainage and interval appendectomy offer a viable alternative to immediate surgery for complicated appendicitis.
Area of Science:
- Medical Case Study
- Interventional Radiology
- Surgical Management
Background:
- Appendicitis is a frequent cause of acute abdominal syndrome across various age groups.
- Complicated appendicitis, including abscess or perforation, can preclude immediate surgical intervention.
Observation:
- A 39-year-old male presented with appendicitis complicated by a well-circumscribed abscess.
- A conservative management strategy was chosen over immediate surgery.
Findings:
- Ultrasound-guided percutaneous drainage of the abscess was successfully performed.
- An interval appendectomy was completed weeks after the initial presentation and drainage.
Implications:
- This case highlights the benefits of interventional radiology in managing complicated appendicitis.
- The conservative approach is particularly relevant for physicians in resource-limited settings.
- Interventional radiology provides a valuable alternative for complex appendicitis cases.
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