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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jul 7, 2013; 19(25): 3942-3950
Published online Jul 7, 2013. doi: 10.3748/wjg.v19.i25.3942
Published online Jul 7, 2013. doi: 10.3748/wjg.v19.i25.3942
Treatment options of inflammatory appendiceal masses in adults
Jenny Tannoury, Bassam Abboud, Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut 6830, Lebanon
Author contributions: Abboud B designed the research; Tannoury J and Abboud B performed the research, analysed the data and wrote the paper.
Correspondence to: Bassam Abboud, MD, Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Alfred Naccache Street 16, Beirut 6830, Lebanon. dbabboud@yahoo.fr
Telephone: +961-1-15300 Fax: +961-1-615295
Received: January 15, 2013
Revised: March 27, 2013
Accepted: April 27, 2013
Published online: July 7, 2013
Revised: March 27, 2013
Accepted: April 27, 2013
Published online: July 7, 2013
Core Tip
Core tip: The management of adult patients with inflammatory appendiceal masses is controversial. This report aims at reviewing the treatment options of these patients, with emphasis on the success rate of nonsurgical treatment, the need for drainage of abscesses, the risk of undetected serious disease, and the need for interval appendectomy to prevent recurrence. The debate arises over the importance of the complication rate of interval appendicectomy. Moreover, if appendicectomy is not performed, consideration needs to be given to what investigations should be undertaken and in which patients. It is also worth recalling that the appendix is used in reconstructive surgery.