[Modern treatment of an appendiceal mass].
BACKGROUND
The recommendations for the treatment of an appendiceal mass are still controversial. The need for staged appendectomy is still under discussion.


METHODS
In a retrospective study all patients with the diagnosis appendiceal mass (ICD 10 K35.32) treated in the surgical clinic of the University Clinic in Greifswald between June 1999 and June 2011 were analyzed.


RESULTS
A total of 38 patients were included in the study whereby 17 patients (9 male and 8 female) were treated with drainage and antibiotics (group A) and 21 (14 male and 7 female) were treated by immediate surgery (group B). Nonsurgical therapy with drainage of the abscess was found to be efficient. Immediate surgical treatment was also effective and should be performed when signs of peritonitis exist. Interval appendectomy is not indicated.
Klinik für Chirurgie, Abteilung für Allgemeine-, Viszeral-, Thorax- und Gefäßchirurgie, Universitätsmedizin Greifswald, Ferdinand Sauerbruchstr., 17475, Greifswald, Deutschland, partecke@uni-greifswald.de.
L I
LI
Partecke
A
A
Müller
W
W
Kessler
S
S
Diedrich
C-D
CD
Heidecke
M
M
Patrzyk
B
B
Mensel
D018784:Abdominal Abscess / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery*; D015331:Cohort Studies; D003131:Combined Modality Therapy; D004322:Drainage; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents