APPENDICULAR MASS AND ABSCESS

FREQUENCY AT TERTIARY CARE TEACHING HOSPITAL

Abstract

Objectives: To determine the frequency of appendicular mass (tumour) and
abscess 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 presented
with pain in right iliac fossa were recruited for the study. The detail history was taken; clinical
examination was done, while all the baseline and specific investigations were advised accordingly
to explore the appendicular lump / abscess whereas the data was saved and analyzed in
SPSS version 16 and the consideration for significance was p-value ≤0.05. Results: During
one 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 mass
were managed surgically i.e. 16 cases were underwent for surgery immediately whereas rest
of the 16 subjects were managed by Oschner Scherren regime and later date appendicectomy
was performed. All 18 cases of appendicular abscess were managed by antibiotics drainage
and these cases of appendicular abscess were nominated for interval appendicectomy
6-8 weeks later due to recurrent appendicitis. Conclusion: The appendicular mass and
appendicular abscess are common disorders and the management tools varies accordingly
from early appendectomy, conservative conventional management to interval appendectomy
while the extraperitoneal drainage and interval appendectomy are useful tool for patients with
appendicular abscess