The Optimal Timing and of the Optimal Treatment of an Appendiceal Mass Formed After Rediatric Acute Perforated Appendicitis

Abstract

The management of an appendiceal mass remains controversial for acute perforated appendicitis. The aim is to determine the role and safety of early laparoscopic appendectomy and interval appendectomy in children with acute appendicitis presenting with an appendiceal mass. Although laparoscopic appendectomy for acute appendicitis in children is a technically demanding procedure, it can be performed safely with no complication and open conversion. Interval appendectomy after initial successful conservative treatment also can be performed safely with no complication and open conversion, but episodes of recurrence were noted within the first 3 months in cases with a fecal calculus, from which it can be seen that a 3-month waiting period is too long. These cases need interval appendectomy at 2 months after the initial successful conservative treatment.