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Recurrent appendicitis after initial conservative management of appendiceal abscess
M R Price1, G M Haase, K H Sartorelli
1Department of Pediatric Surgery, The Children's Hospital, Denver, CO, USA.
Journal of Pediatric Surgery
|February 1, 1996
Summary
Conservative treatment for pediatric appendiceal abscesses can lead to recurrent appendicitis. Interval appendectomy is crucial for complete management, preventing future complications and repeat infections in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Appendiceal abscess management in children is debated.
- Conservative approaches, including abscess drainage without immediate appendectomy, are sometimes employed.
Observation:
- Two pediatric cases of appendiceal abscess treated conservatively without interval appendectomy experienced recurrent appendicitis.
- Recurrence involved perforated appendicitis and further abscess formation, necessitating repeat interventions.
Findings:
- Initial drainage of appendiceal abscesses can be effective in the short term.
- Failure to perform interval appendectomy significantly increases the risk of recurrent appendicitis and associated complications.
Implications:
- Interval appendectomy should be considered a vital part of comprehensive appendiceal abscess treatment in children.
- This approach may reduce long-term morbidity and the need for re-operations.