Advertisement

Perforated Appendicitis

  • Evgeny V. Arshava
  • Michael A. Edwards
  • Bruce MacFadyenJr.
  • Jared L. Antevil
  • Carlos V. R. Brown

Management of appendicitis has changed with the advent of laparoscopic appendectomy. Additional complexity is introduced into the algorithm when the history or imaging studies suggest that perforation and abscess formation have occurred. This chapter explores decision choices associated with that situation.

Keywords

Acute Appendicitis Percutaneous Drainage Laparoscopic Appendectomy Open Appendectomy Perforated Appendicitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alexander AA, Eschelman DJ, Nazarian LN, Bonn J. Transrectal sonographically guided drainage of deep pelvis abscesses. Am J. Roentgenol. 1994 May;162(5):1227–32.Google Scholar
  2. Bagi P, Dueholm S. Nonoperative management of the ultrasonically evaluated appendiceal mass. Surgery 1987;101(5):602–605.PubMedGoogle Scholar
  3. Bradley EL 3rd, Isaacs J. Appendiceal abscess revisited. Arch Surg 113:130–132, 1978.PubMedGoogle Scholar
  4. Brown CV, Abrishami M, Muller M, Velmahos GC. Appendiceal abscess: immediate operation or percutaneous drainage? Am Surg. Oct; 69(10):829–32.Google Scholar
  5. Carbonell AM, Burns JM, Lincourt AE, et al. Outcomes of laparoscopic versus open appendectomy. Am Surg 2004;70:759–765.PubMedGoogle Scholar
  6. Ein SH, Shandling B. Is interval appendectomy necessary after rupture of an appendiceal mass? J Pediatr Surg. 1996 Jun;31(6):849–50.CrossRefPubMedGoogle Scholar
  7. Eriksson S, Granstrom L: Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis. Br J Surg 1995;82:166–169.CrossRefPubMedGoogle Scholar
  8. Gahukamble DB, Gahukamble LD.: Surgical and pathological basis for interval appendicectomy after resolution of appendicular mass in children. J Pediatr Surg. 2000 Mar;35(3):424–7.CrossRefPubMedGoogle Scholar
  9. Gervais DA, Brown SD, Connolly SA, Brec SL, Harisinghani MG, Mueller PR. Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics 2004;24(3):737–754. Review.CrossRefPubMedGoogle Scholar
  10. Gibeily GJ, Ross MN, Manning DB, Wherry DC, Kao TC. Late-presenting appendicitis: a laparoscopic approach to a complicated problem. Surg Endosc 2003;17(5):725–729.CrossRefPubMedGoogle Scholar
  11. Gillick J, Velayudham M, Puri P. Conservative management of appendix mass in children. Br J Surg 2001;88:1539–1542.CrossRefPubMedGoogle Scholar
  12. Helmer KS, Robinson EK, Lally KP, et al. Standardized patient care guidelines reduce infectious morbidity in appendectomy patients. Am J Surg 183:2002;608–613.CrossRefPubMedGoogle Scholar
  13. Hoffman J, Lindhard A. Appendix mass: conservative management without interval appendectomy. Am J Surg 1984;148:379–382.CrossRefGoogle Scholar
  14. Jaffe TA, Nelson RC, Delong DM, Paulson EK. Practice patterns in percutaneous image-guided intraabdominal abscess drainage: survey of academic and private practice centers. Radiology. 2003 Feb;226(2):521–6.CrossRefGoogle Scholar
  15. Jamieson DH, Chait PG, Filler R. Interventional drainage of appendiceal abscesses in children. AJR Am J Roentgenol 1997;169(6):1619–1622.PubMedGoogle Scholar
  16. Kaminksi A, Liu IA, Applebaum H, et al. Routine interval appendectomy is not justified after initial nonoperative treatment of acute appendicitis. Arch Surg 2005;140:897–901.CrossRefGoogle Scholar
  17. Katkhouda N, Friedlander MH, Grant SW, et al. Intraabdominal abscess rate after laparoscopic appendectomy. Am J Surg 2000;180:456–459.CrossRefPubMedGoogle Scholar
  18. Kouwenhoven EA, Repelear van Driel OJ, van Erp WFM. Fear for the intraabdominal abscess after laparoscopic appendectomy: not realistic. Surg Endosc 2005;19:923–926.CrossRefPubMedGoogle Scholar
  19. Nguyen DB, Silen W, Hodin RA. Interval appendectomy in the laparoscopic era. J Gastrointest Surg 1999 Mar-Apr;3(2):189–93.CrossRefPubMedGoogle Scholar
  20. Nguyen NT, Zainabadi K, Mavandadi S, et al. Trends in utilization and outcomes of laparoscopic versus open appendectomy. Am J Surg 2004;188(6):813–820.CrossRefPubMedGoogle Scholar
  21. Nitecki S, Assalia A, Schein M. Contemporary management of the appendiceal mass. Br J Surg 1993;80:18–20.CrossRefPubMedGoogle Scholar
  22. Marya SK, Garg P, Singh M, et al: Is long delay necessary before appendectomy after appendiceal formation? Can J Surg 1993;36:268–270.PubMedGoogle Scholar
  23. Oliak D, Yamini D, Udani VM, Lewis JR, Arnell T, Vargas H, Stamos MJ. Initial non-operative management for periappendical abscess. Dis Colon Rectum. 2001 Jul; 44 (7):936–41.CrossRefPubMedGoogle Scholar
  24. Paull DL, Bloom GP. Appendiceal abscess. Arch Surg. 1982 Aug (8);117:1017–19.Google Scholar
  25. Price MR, Haase GM, Sartorelli KH, Meagher DP Jr. Recurrent appendicitis after initial conservative management of appendiceal abscess.Google Scholar
  26. Raptopoulos V, Katsou G, Rosen MP, Siewert B, Goldberg SN, Kruskal JB. Acute appendicitis: effect of increased use of CT on selecting patients earlier. Radiology 2003; 226 (2):521–526.CrossRefPubMedGoogle Scholar
  27. Samuel M, Hosie G, Holmes K. Prospective evaluation of nonsurgical versus surgical management of appendiceal mass. J Pediatr Surg. 2002 Jun (6);37:882–6.CrossRefPubMedGoogle Scholar
  28. Skoubo-Kristensen E, Hvid I. The appendiceal mass. Ann surg 1982;196:584–587.CrossRefPubMedGoogle Scholar
  29. Thompson JE Jr, Bennion RS, Schmit PJ, Hiyama DT. Cecectomy for complicated appendicitis. J Am Coll Surg. 1994 Aug;179(2)135–8.PubMedGoogle Scholar
  30. Riseman JA, Wichterman K. Evaluation of right hemicolectomy for unexpected cecal mass. Arch Surg. 1989 Sep;124(9):1043–4.PubMedGoogle Scholar
  31. Tingstedt B, Bexe-Lindskog E, Ekelund M, Andersson R. Management of appendiceal masses. Eur J Surg 2002;168(11):579–582.CrossRefPubMedGoogle Scholar
  32. Willemsen PJ, Hoorntje LE, Eddes EH, Ploeg RJ. The need for interval appendectomy after resolution of an appendiceal mass questioned. Dig Surg 2002;19(3): 216–221.CrossRefPubMedGoogle Scholar
  33. Yamini D, Vargus H, Bongard F, Klein S, Stamos MJ. Perforated appencicitis: is it truly a surgical urgency? “Am Surg” 1998;64:970–975.PubMedGoogle Scholar

Suggested Readings

  1. Janik JS, Ein SH, Shandling B, Simpson JS, Stephens CA. Nonsurgical management of appendiceal mass in late presenting children. J Pediatr Surg 15:1980;574–576.CrossRefPubMedGoogle Scholar
  2. Jordan JS, Kovalcik PJ, Schwab CW: Appendicitis with a palpable mass. Ann Surg 1981. Feb;193(2):227–9.CrossRefPubMedGoogle Scholar
  3. Kapischke M, Caliebe A, Tepel J, et al. Open versus laparoscopic appendectomy: a critical review. Surg Endosc 2006;20:1060–1068.CrossRefPubMedGoogle Scholar
  4. Katkhouda N, Mason JR, Towfigh S, et al. Laparoscopic versus open appendectomy: a prospective randomized double-blinded study. Ann Surg 2005;242(3):439–450.PubMedGoogle Scholar
  5. Lewin J, Fenyo G, Engstrom L. Treatment of appendiceal abscess. Acta Chir Scand 1988;154:123–125.PubMedGoogle Scholar
  6. Mazziotti MV, Marley EF, Winthrop AL, et al. Histopathologic analysis of interval appendectomy specimens: support for the role of interval appendectomy. J Pediatr Surg 1997;32:806–809.CrossRefPubMedGoogle Scholar
  7. Sauerland S, Lefering R, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Systematic Review 2002;1:CD001546.Google Scholar
  8. Sunil K, Sundeep J. Treatment of appendiceal mass: Prospective, randomized clinical trial. Indian J Gastroenterol 2004;23:165–167.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Evgeny V. Arshava
    • 1
  • Michael A. Edwards
    • 2
  • Bruce MacFadyenJr.
    • 3
  • Jared L. Antevil
    • 4
  • Carlos V. R. Brown
    • 5
  1. 1.Department of SurgeryUniversity of IowaIowa CityUSA
  2. 2.Virtual Education and Surgical Skills LabMedical College of GeorgiaAugustaUSA
  3. 3.Medical College of GeorgiaAugustaUSA
  4. 4.Naval Medical Center San DiegoSan DiegoUSA
  5. 5.University of Texas Medical BranchAustinUSA

Personalised recommendations