Saudi Journal of Gastroenterology
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Year : 1995  |  Volume : 1  |  Issue : 1  |  Page : 43-46

Surgery for appendicular mass


Department of Surgery, Division of Paediatric Surgery, Medical College and KKUH, P.O Box 2925, Riyadh 11461, Saudi Arabia

Correspondence Address:
Asal Y Izzidien Al-Samarrai
Department of Surgery, Division of Paediatric Surgery, Medical College and KKUH, P.O Box 2925, Riyadh 11461
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


PMID: 19864867

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Two hundred and seventy-seven patients were admitted with acute appendicitis to KKUH during a 5 year period. There were 189 males (68%) and 88 females (32%). Of these,51 patients(18.4%) had appendicu­lar mass diagnosed clinically or under anaesthesia. Twenty five were males and twenty six females. All patients with appendicular mass underwent exploration and six were found to have abscess forma­tion.All patients had their appendix removed. There was no mortality. Three patients developed wound infection, one a pelvic collection and one had sub-acute intestinal obstruction, giving a complication rate of 9.8%. We feel a surgical approach for appendicular mass, in a specialised centre dealing with paediatric surgical patients, is a safe alternative to the classical textbook conservative approach. It also has the benefit of reducing the hospital stay and requires no readmission for interval appendectomy, for which many patients fail to return.


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