Abstract

TOTO-MORALES, Julián Gabriel; RAMOS-ARANDA, Javier; QUIJANO-ORVANANOS, Fernando  and  MARTINEZ-MUNIVE, Ángel. Conservative treatment in a patient with complicated apendicitis. Cir. gen [online]. 2020, vol.42, n.3, pp.210-214.  Epub July 25, 2022. ISSN 1405-0099.  https://doi.org/10.35366/99961.

Acute appendicitis management represents a therapeutic challenge for every surgeon because of the marked increased complication rate due to tissue fragility. In this article we present the case of a patient who was admitted to the emergency room with complicated acute appendicitis. He had two intraabdominal abscesses with volumes of 88 and 125 ml in right lower quadrant and in hypogastrium. Conservative management was indicated with ultrasound-guided aspiration and drain of abscesses, broad spectrum intravenous antibiotics and parenteral feeding. The patient had a positive response to treatment and was discharged after nine days. We also present a review of the current literature regarding complicated acute appendicitis management.

Keywords : Appendicitis; abscess; non operative management; operative management; percutaneous drainage; ultrasound.

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