Appendiceal Abscesses Reduced in Size by Drainage of Pus from the Appendiceal Orifice during Colonoscopy: A Report of Three Cases
| Autor: | Takehito Otsubo, Ryoji Makizumi, Kazunari Nakahara, Satoshi Tsukikawa, Nobuyoshi Miyajima, Shinjiro Kobayashi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Colonoscopy Malignancy Laparoscopic appendectomy medicine Appendectomy lcsh:RC799-869 Elective surgery Abscess Appendiceal abscess medicine.diagnostic_test business.industry Published online: November 2014 Gastroenterology Interval appendectomy medicine.disease bacterial infections and mycoses Appendix Surgery Catheter medicine.anatomical_structure lcsh:Diseases of the digestive system. Gastroenterology Radiology Complication business Body orifice |
| Zdroj: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 8, Iss 3, Pp 364-370 (2014) |
| ISSN: | 1662-0631 |
| Popis: | Interval appendectomy (IA) for appendiceal abscesses is useful for avoiding extended surgery and preventing postoperative complications. However, IA has problems in that it takes time before an abscess is reduced in size in some cases and in that elective surgery may result in a delay in treatment in patients with a malignant tumor of the appendix. In order to rule out malignancy, we performed colonoscopy on three patients with an appendiceal abscess that did not decrease in size 5 or more days after IA. After malignancy had been ruled out by examination of the area of the appendiceal orifice, the appendiceal orifice was compressed with a colonoscope, and a catheter was inserted through the orifice. Then, drainage of pus was observed from the appendiceal orifice into the cecal lumen. Computed tomography performed 3 days after colonoscopy revealed a marked reduction in abscess size in all patients. No endoscopy-related complication was noted. Colonoscopy in patients with an appendiceal abscess may not only differentiate malignant tumors, but also accelerate reduction in abscess size. |
| Databáze: | OpenAIRE |
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