Annals of African Medicine
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OPINION
Year : 2008  |  Volume : 7  |  Issue : 4  |  Page : 200-204

Management of appendiceal mass


Division of General Surgery, Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria

Correspondence Address:
E S Garba
Department of Surgery, A. B. U. Teaching Hospital, Zaria, Kaduna State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1596-3519.55652

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Background: The management of appendiceal mass is surrounded with controversy. Traditional management has been conservative, with interval appendicectomy performed weeks after the mass had resolved. This remains the most common approach at many centers in the world. Recently, an increasing number of studies have challenged this approach. This article reviews some of the controversial issues in the management of appendix mass, assesses current practice and suggests an appropriate approach for the management of appendix mass. Methods:A Medline, Pubmed and Cochrane database search were used to find such key words and combinations of: appendix, appendiceal, appendicular, interval, appendectomy, appendicectomy, mass, abscess, phlegmon, and appendicitis. Results were saved and managed by Reference manager 11. All articles were cross-referenced by the authors. Results: A conservative management is still a highly acceptable approach for appendix mass. This should be followed with interval appendicectomy especially in patients with persistent right iliac fossa pain. Conclusion: We recommend initially conservative approach to the management of appendiceal mass especially in our environment.


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