title: Case-based review: conservative management of appendicitis--are we delaying the inevitable?
abstract: Acute appendicitis is a common surgical presentation for which surgical intervention, an appendicectomy, has remained a largely unchallenged primary treatment modality. Traditionally, it has been felt that the pathophysiological progressive nature of appendicitis ultimately leads to  perforation. A number of recent studies, however, suggest that the process of appendiceal inflammation may follow a more remitting nature with evidence indicating spontaneous resolution. It is hypothesised that the treatment of uncomplicated appendicitis may therefore be amenable to conservative  management with antibiotics. This article aims to highlight some of the issues and challenges relating to the conservative management of acute appendicitis and further demonstrates potential diagnostic and treatment difficulties involved in managing the more unfamiliar condition of recurrent  appendicitis.
authors.affiliation: Specialty Doctor, Burton Hospitals NHS Foundation Trust, Burton-on-Trent, Staffordshire, UK siandavies@me.com
authors.forename: S
authors.initials: S
authors.lastname: Davies
authors.forename: A
authors.initials: A
authors.lastname: Peckham-Cooper
authors.forename: A
authors.initials: A
authors.lastname: Sverrisdottir
mesh_terms: D000208:Acute Disease; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents