APPENDICULAR MASS AND ABSCESS

Abstract

Objectives: To determine the frequency of appendicular mass (tumour) andabscess at tertiary care teaching hospital. Study Design: Cross sectional descriptive study.Period: One year. Setting: Department of Surgery at Liaquat University Hospital Hyderabad /Jamshoro, a tertiary care teaching hospital. Patients and Methods: All the patients presentedwith pain in right iliac fossa were recruited for the study. The detail history was taken; clinicalexamination was done, while all the baseline and specific investigations were advised accordinglyto explore the appendicular lump / abscess whereas the data was saved and analyzed inSPSS version 16 and the consideration for significance was p-value ≤0.05. Results: Duringone year study period total fifty patients were presented as appendicular mass and abscess,seventy percent appendicular mass presented with fever and 60% presented with vomiting.Regarding appendicular abscess 90% presented with fever and 30% presented with vomiting.The appendicular mass and appendicular abscess was identified in 32 (64%) and 18 (36%)cases with male population predominance. Out of thirty two patients of appendicular masswere managed surgically i.e. 16 cases were underwent for surgery immediately whereas restof the 16 subjects were managed by Oschner Scherren regime and later date appendicectomywas performed. All 18 cases of appendicular abscess were managed by antibiotics drainageand these cases of appendicular abscess were nominated for interval appendicectomy6-8 weeks later due to recurrent appendicitis. Conclusion: The appendicular mass andappendicular abscess are common disorders and the management tools varies accordinglyfrom early appendectomy, conservative conventional management to interval appendectomywhile the extraperitoneal drainage and interval appendectomy are useful tool for patients withappendicular abscess