Предлагаю размещать информацию и о современном лечении острого аппендицита при беременности. Это тоже относится к этой теме.
Статья о необходимости интервальной аппендэктомии после "консервативного" лечения абсцесса.
J Pediatr Surg. 1996 Feb;31(2):291-4.
Recurrent appendicitis after initial conservative management of appendiceal abscess.
Price MR, Haase GM, Sartorelli KH, Meagher DP Jr.
Department of Pediatric Surgery, The Children's Hospital, Denver, CO, USA.
Therapy for children with appendiceal abscess remains controversial. The authors present two such cases initially treated conservatively, without interval appendectomy, that later had recurrent appendicitis. An 8-year-old boy presented with fever, abdominal pain, and a right-lower-quadrant abscess (noted by ultrasonography). During laparotomy, the abscess was drained and the appendix was not found. He was lost to follow-up but returned 2 1/2 years later with perforated appendicitis. An appendectomy was performed, and image-guided drainage of a postoperative abscess was required. A 10-year-old girl presented with fever and right-lower-quadrant pain. Computed tomography showed a multiloculated mass. During laparotomy, the cecum was found to be densely adherent to the pelvic organs and bowel, so the surrounding abscess was drained. Interval appendectomy was refused. The patient returned 8 months later with recurrent acute appendicitis and an appendiceal abscess requiring appendectomy and drainage. Although initial drainage alone of appendiceal abscess is efficacious, the authors strongly advocate interval appendectomy as a critical component of the complete management of this entity.
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