Appendicular abscess

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Electrocardiogram

There are no clear indications to obtain an ECG in patients with appendicular abscess.

X-Ray

• Plain abdominal radiography is not the most useful tool in making a diagnosis of appendicular abscess.

Surgery

Emergency appendectomy

Indications:

• When patients present with life-threatening signs of peritonitis
• large appendiceal abscess,
• In patients with an extraluminal appendicolith.

Interval Appendectomy

Following drain and antibiotics an interval appendectomy is recommended for patients after six to eight weeks, it is done to :

• Prevent recurrence of appendicitis.
• Exclude neoplasms as a cause (such as carcinoid, adenocarcinoma, mucinous cystadenoma, and cystadenocarcinomas)

Complications of interval appendectomy

• Wound Infection (sepsis)
• Pelvic abscess
• Aspiration pneumonia

Late complication

• Abdominal adhesions
• Fecal fistula

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Prevention

Primary Prevention

There are no primary preventive measures available for appendicular abscess. Reducing the risk of appendicitis however, can help in the first place .Following a diet that includes fresh vegetables and fruit may lower the risk.

Secondary prevention

Peritonitis develops from the rupturing of the appendix and can lead to death is left untreated. Acute appendicitis that is evaluated and treated early with an appendectomy generally leads to no further complications and a patient's full recovery.