Management of Appendicular mass/ abscess: March 2013 (a, c, e, f, g, h)
Ans. C i.e. Antibiotics and appendectomy 6 weeks later Append icular abscess The conservative management of appendicular mass can be summarized by mnemonic "ABCDEF" which is A: Analgesic, Antibiotic, antipyretic B: Bed rest C: Chaing (vital sign, size of the mass) D: Diet (Keep Nil by Mouth) E: Exploratory laparotomy KIV. F: Fluid maintenance The initial school of thought regards this condition to be managed conservatively, with the famous one being the Ochsner-Sherren regimen. The idea behind this is that, surgery would be hazardous and increase the moality rate. Surgeon who hold with this choice differs in opinion whether there is a need for interval appendectomy which usually perform after 3-6 week after the conservative management. The idea behind the interval appendectomy is to prevent recurrence of acute appendicitis and to exclude other gastrointestinal pathology especially malignancy.
Antibiotics only
Immediate appendectomy
Antibiotics and appendectomy 6 weeks later
Wait & watch