-Abcès appendiculaire: évacuation et drainage de la collection -plastron appendiculaire: TRT initial par ATB en milieu chirurgical pdt 1 mois. abces appendiculaire. Operation suivie de fistule caecale. R6opere le 19 novembre pour appendicectomie et fermeture de la fistule. D6cede quatre jours. A year-old woman with stage T4N0M0 adenocarcinoma of the cecum presented with what seemed to be an appendiceal abscess. She had.

Author: Zolozahn Tojalrajas
Country: Georgia
Language: English (Spanish)
Genre: Career
Published (Last): 21 February 2015
Pages: 240
PDF File Size: 14.82 Mb
ePub File Size: 6.72 Mb
ISBN: 671-7-68517-678-8
Downloads: 84100
Price: Free* [*Free Regsitration Required]
Uploader: Mazutilar

Journal List Can J Surg v. Advocates of immediate appendicectomy mentioned advantages of avoiding the need for readmission for interval appendicectomy, and the exclusion of other pathologies masquerading as an appendix mass.

There was also no significant postoperative complication in this group. An article in favor of initial conservative approach published in by Nitecki et al 2 reported a mean incidence of recurrent acute appendicitis in a meta-analysis of patients managed conservatively as Find articles by Ted Ross.

Correspondence and reprint requests to: None of these three approaches has gained total universal acceptance. All articles were cross-referenced by the authors. We recommend initially conservative approach to the management of appendiceal mass appenriculaire in our environment.

Images in medicine

Third, recurrence of appendicitis following conservative management is usually associated with a milder clinical course amenable to both operative and non-operative approaches. Am J Surg Pathol ; Primary neoplasms of the appendix: Access to the PDF text If you experience reading problems with Firefox, please follow this procedure.

There were also fewer operative difficulties in this group of patients and there was a far less frequent appenriculaire to extend the incisions during surgery. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of appendicualire lawaccess art 34 of that law and rectify art 36 of that law your personal data. Giant mucocele of the appendix. Contact Help Who are we?


This discussion shall abcces grouped under the three main methods of approaches to treatment of appendix mass. US of the Peritoneum. The conservatively managed group also had the shortest length of hospital stay even when the recurrences were included.

The inflammatory appendiceal mass may be mistaken at surgery for a malignant tumor, occasionally leading to right hemicolectomy.

The management of appendiceal mass is surrounded with controversy. Pseudomyxoma peritonei is a disease of MUC2-expressing goblet cells. They concluded that conservative management without interval appendicectomy was the most appropriate management for appendix mass and that immediate appendicectomy should only be used when initial conservative management fails.

Misdiagnosis of appendiceal tumor or colonic tumor can be disastrous in patients with appendiceal mass so we should exercise caution when adopting entirely conservative approach. A school of thought argued that after a successful conservative management, interval appendicectomy is not necessary and can safely be omitted, except in patients with recurrent symptoms. National Center xppendiculaire Biotechnology InformationU.

Accepted Jul 9. Initial conservative treatment followed by interval appendectomy six to eight weeks later. Click here to see the Library ]. This should be followed with interval appendicectomy especially in patients with appendiculire right iliac fossa pain.

Management of pseudomyxoma peritonei.

digestif – Mucocèle appendiculaire et pseudomyxome péritonéal – EM|consulte

World J Surg Oncol ;4: Obviously patients in Groups A and B above have significantly longer duration of hospital stay as abcse as time lost from work. They demonstrated that when recurrence of appendicitis occurs this followed a milder clinical course. Patients are offered interval appendicectomy following resolution of symptoms.

J Ultrasound Med ; In patients above 40 years of age, one must exclude other pathological causes of right iliac fossa mass by further investigations such as barium enema, colonoscopy and computerized tomography scan. It is appendicylaire to prevent recurrence of acute appendicitis and second to avoid misdiagnosing an alternative pathology such as malignancy.


This wppendiculaire the most common approach at many centers in the world. A traditional initial conservative management is still a highly acceptable approach for appendix mass. Am J Pathol ; The abscess was drained. A year-old woman with stage T4N0M0 adenocarcinoma of the cecum presented with what seemed to be an appendiceal abscess. This should be followed with interval appendicectomy more so in patients with persistent right lower abdominal pain. This approach involved the administration of intravenous fluids and antibiotics while keeping the patient on nil per oral.

Colonic carcinoma presenting as an appendiceal abscess in a young woman

A cancer whose biology is characterized by a redistribution phenomenon. Please review our privacy policy. A close follow up is needed in this category of patients. A mass in the cecum, associated with dense fibrous tissue and abscess formation, was found on subsequent surgical exploration.

With the advent of antibiotics designed to prevent the growth of anaerobes, early appendectomy can now be carried out without complication 19 Hence emergency appendicectomy for appendix mass is emerging as an alternative to conventional conservative treatment.

This article aims to review the current available literatures describing management of appendix mass and suggest an acceptable approach based on available local resources. Appendiceal mass, appendix abscess, appendix phlegmon, appendicitis, interval appendicectomy.

Journal page Archives Sommaire. Appendiceal mucocoeles and pseudomyxoma peritonei. BM Ronnett, et al.