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Appendiceal abscess revisited.

E L Bradley, J Isaacs

    Archives of Surgery (Chicago, Ill. : 1960)
    |February 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Appendiceal abscess occurred in 2% of acute appendicitis patients. Patient education may reduce incidence, and interval appendectomy is recommended for most, except high-risk individuals.

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    Area of Science:

    • Surgery
    • Gastroenterology
    • Infectious Disease

    Background:

    • Appendiceal abscess is a complication of acute appendicitis.
    • Previous studies showed higher incidence rates.
    • Delayed medical care seeking contributes to abscess formation.

    Purpose of the Study:

    • To analyze the incidence, treatment, and outcomes of appendiceal abscess.
    • To evaluate the role of interval appendectomy after abscess drainage.
    • To assess the risk of recurrent appendicitis without interval appendectomy.

    Main Methods:

    • Retrospective review of 2,621 acute appendicitis cases from 1962-1976.
    • Analysis of patients who developed appendiceal abscess (68 cases).
    • Comparison of complication rates for surgical drainage versus interval appendectomy.

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    Main Results:

    • Appendiceal abscess developed in 2% of patients.
    • Surgical drainage had a 28% complication rate; interval appendectomy had a 19% complication rate.
    • Recurrent appendicitis occurred in 1 of 13 patients not undergoing interval appendectomy.

    Conclusions:

    • Increased patient education may decrease appendiceal abscess incidence.
    • Interval appendectomy is generally advisable after abscess treatment.
    • Withholding interval appendectomy may be considered for poor-risk patients.