title: Perforated appendix with abscess: Immediate or interval appendectomy? Some examples to explain our choice.
abstract: BACKGROUND
  There are no clear guidelines in the treatment of a perforated appendicitis associated with periappendiceal abscess without generalized peritonitis.
  
  
  METHODS
  We retrospectively studied six examples of treated children in order to discuss the reasons of our team's therapeutic approach. Some children were treated with a conservative antibiotic therapy to solve acute abdomen pain, planning a routine interval appendectomy after some months. Others, instead, underwent an immediate appendectomy.
  
  
  CONCLUSIONS
  By examining these examples we wanted to highlight how the first approach may be associated with shorter surgery time, fewer overall hospital days, faster refeeding and minor complications.
  
  
  CONCLUSIONS
  Our team's therapeutic choice, in the case of a perforated appendicitis with an abscess and coprolith is an initial conservative case management followed by a routine interval appendectomy performed not later than 4 months after discharge.
authors.affiliation: Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy. Electronic address: edoardoguida@libero.it.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Guida
authors.affiliation: Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Pederiva
authors.affiliation: University of Trieste, Italy.
authors.forename: Massimo Di
authors.initials: MD
authors.lastname: Grazia
authors.affiliation: Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Codrich
authors.affiliation: Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Maria Antonietta
authors.initials: MA
authors.lastname: Lembo
authors.affiliation: Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Scarpa
authors.affiliation: Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy; University of Trieste, Italy.
authors.forename: Waifro
authors.initials: W
authors.lastname: Rigamonti
keywords: Abscess; Acute appendicitis; Antibiotic therapy; Appendicolith; Interval appendectomy