What is an appendicular abscess?
An appendiceal abscess is a condition in which an abscess is formed around the appendix as a result of appendiceal perforation or extension of inflammation to the adjacent tissues due to aggravation of appendicitis. It occurs in 2-6% of patients with appendicitis [2].
What is appendicitis with phlegmon?
Appendiceal phlegmon is considered to be sequelae to acute appendicitis which presents as an appendiceal mass composed of the inflamed appendix, the adjacent bowel loops, and the greater omentum. The definitive diagnosis can be obtained by a CT scan of the abdomen.
How do you treat appendicular abscess?
Patients with a phlegmon or a small abscess: After intravenous (IV) antibiotic therapy, an interval appendectomy can be performed 4-6 weeks later. Patients with a larger well-defined abscess: After percutaneous drainage with IV antibiotics is performed, the patient can be discharged with the catheter in place.
What happens if appendix burst?
A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity. A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess).
What is the epidemiology of appendicitis?
The incidence of acute appendicitis has been declining steadily since the late 1940s, and the current annual incidence is 10 cases per 100,000 population. Appendicitis occurs in 7% of the US population, with an incidence of 1.1 cases per 1000 people per year. Some familial predisposition exists.
What causes appendicular abscess?
An appendicular abscess is a complication of acute appendicitis. It is resulted due to the invasion of the appendix by bacteria following an obstruction. The appendix exists at the junction of the small and large intestine and is a natural habitat of wide variety of bacteria.
What causes appendicular mass?
The most common appendiceal neoplasms are carcinoid tumor, adenocarcinoma and mucocele. These patients usually present with signs of acute appendicitis but a neoplasm may be diagnosed incidentally during an imaging study or operative procedures for other reasons.
What is phlegmon abscess?
Abscess. A phlegmon is a localized area of acute inflammation of the soft tissues. It is a descriptive term which may be used for inflammation related to a bacterial infection or non-infectious causes (e.g. pancreatitis).
What is appendicular infiltrate?
Appendiceal infiltrate is the conglomerate of organs and tissue not densely accrete round the inflamed vermiform appendix. It develops, certainly, on 3–5th day from the beginning of disease. Acute pain in the stomach calms down thus, the general condition of a patient gets better.
How is appendicular mass treated?
There are 3 methods for treatment of appendiceal mass: emergency surgery, conservative management followed by interval surgery, and totally conservative management without interval surgery. The most widespread method of treatment is considered the nonoperative method by Ochsner (1901).
How is appendicular abscess diagnosed?
Abdominal CT CT scans are the diagnostic test of choice for detecting appendicular abscess. They can provide critical information regarding the size of the abscess. CT scans are preferred over ultrasounds for the detection of abscess but is contraindicated in children due to risk of exposure.