Letters To The Editor
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World J Gastroenterol. Apr 21, 2012; 18(15): 1849-1850
Published online Apr 21, 2012. doi: 10.3748/wjg.v18.i15.1849
What is the optimal treatment for appendiceal mass formed after acute perforated appendicitis?
Enver Zerem, Goran Imamović, Farid Ljuca, Jasmina Alidžanović
Enver Zerem, Department of Gastroenterology, University Clinical Center Tuzla, Trnovac bb, 75000 Tuzla, Bosnia and Herzegovina
Goran Imamović, Medical School of Tuzla, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina
Farid Ljuca, Medical School of Tuzla, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina
Jasmina Alidžanović, Department of Oncology, University Clinical Center Tuzla, Trnovac bb, 75000 Tuzla, Bosnia and Herzegovina
Author contributions: Zerem E, Imamović G, Ljuca F and Alidžanović J contributed equally to this letter to editor.
Correspondence to: Enver Zerem, MD, PhD, Department of Gastroenterology, University Clinical Center Tuzla, UKC Tuzla, Trnovac bb, 75000 Tuzla, Bosnia and Herzegovina. zerem@live.com
Telephone: +387-35-303300 Fax: +387-35-266485
Received: July 11, 2011
Revised: December 4, 2011
Accepted: January 18, 2012
Published online: April 21, 2012
Abstract

We read with great interest the editorial article by Meshikhes AWN published in issue 25 of World J Gastroenterol 2011. The article described the advantages of emergency laparoscopic appendectomy compared with interval appendectomy as a new safe treatment modality for the appendiceal mass. The author concluded that the emergency laparoscopic appendectomy was a safe treatment modality for the appendiceal mass, and might prove to be more cost-effective than conservative treatment, with no need for interval appendectomy. However, we would like to highlight certain issues regarding the possibility of percutaneous catheter drainage to successfully treat the appendiceal mass, with no need for appendectomy, too.

Keywords: Appendiceal mass; Percutaneous drainage; Antibiotic therapy; Interval appendectomy; Laparoscopic appendectomy