Abstract
Matteo Giardini*, Stefan Breitenstein, Felix Grieder and Lukas Gantner Author Affiliations Department of Surgery, Cantonal Hospital of Winterthur, Switzerland Received: January 19, 2022 | Published: January 25, 2022 Corresponding author: Matteo Giardini, Department of Surgery, Cantonal Hospital of Winterthur, Winterthur, Switzerland DOI: 10.26717/BJSTR.2022.41.006577
Highlights
Acute appendicitis is a very common surgical emergency
The minimally invasive management of liver abscesses with antibiotics and drainage has shown to be effective with minimal risk to the patient
Despite the discussion of conservative treatment of acute appendicitis with antibiotics, the American College of Surgeons, the European Association of Endoscopic Surgery and the World Society of Emergency Surgery all recommend the treatment by appendectomy [1,2]
Summary
Acute appendicitis is one of the most common surgical pathologies globally and its treatment has been well practiced for many years. Clinically it can present in many different ways, from asymptomatic to septic shock and every variation in between. We present the case of a middle-aged man presenting with fever as his only symptom. Blood evaluation and imaging, an acute appendicitis with multiple pyogenic liver abscesses were found. The patient underwent surgery with removal of the appendix and drainage of the abscesses. With an antibiotic regiment over several weeks and drainage placement the abscesses could be drained successfully, and the patient remained asymptomatic during the follow-up over 6 weeks
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