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Does an appendicular abscess require an operation?

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Posted on Sat, 4 Apr 2020
Question: Hi my name is terrie my daughter came to emergency with abdominal pain the doctors said she had an inflamed apeendix and gave her antbotics and sent her home. One week latter she was back same pain throwing up ect. They did a million test and didn’t even opperate until next day it was an acute appendicitis sent her home had to come back and now if full of abscess .did the appendix burst if not how did she get theses she has 4 drain tubes now and has been in severe pain help
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:

Appendicular abscess needs to be drained

Detailed Answer:

Hi,

As per your history, I can infer that there is a formation of an appendicular abscess and that is why she has been operated and tubes that drain have been kept to drain the abscess.

Many cases of appendicitis respond well to the antibiotic and the problem may resolve to need an interval appendectomy.

In cases wherein the patient presents after 48 to 72 hours of an attack of appendicitis, this may progress first to appendicular mass which may transform into an abscess.

And abscess needs drainage. But it may be impossible to remove the appendix in many cases to avoid complications, this is a standard management protocol.

Please give some additional pieces of information:

Where are the tubes draining from - abdomen? Naso-gastric? Urinary?
When was she taken to ER after pain in the abdomen - immediately or after few days?
Please upload/attach any reports of ultrasonography/ CT scan/ blood tests if you have.

Hope I have answered your query.

Take care

Regards,
Dr T Chandrakant


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. T Chandrakant

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Practicing since :1984

Answered : 18366 Questions

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Does an appendicular abscess require an operation?

Brief Answer: Appendicular abscess needs to be drained Detailed Answer: Hi, As per your history, I can infer that there is a formation of an appendicular abscess and that is why she has been operated and tubes that drain have been kept to drain the abscess. Many cases of appendicitis respond well to the antibiotic and the problem may resolve to need an interval appendectomy. In cases wherein the patient presents after 48 to 72 hours of an attack of appendicitis, this may progress first to appendicular mass which may transform into an abscess. And abscess needs drainage. But it may be impossible to remove the appendix in many cases to avoid complications, this is a standard management protocol. Please give some additional pieces of information: Where are the tubes draining from - abdomen? Naso-gastric? Urinary? When was she taken to ER after pain in the abdomen - immediately or after few days? Please upload/attach any reports of ultrasonography/ CT scan/ blood tests if you have. Hope I have answered your query. Take care Regards, Dr T Chandrakant