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Is Interval Appendectomy necessary after successful conservative treatment of appendiceal mass in children?
  1. Mark Fisher
  1. University of Otago, Christchurch, New Zealand
    1. Maud Meates-Dennis (maud.meates-dennis{at}otago.ac.nz)
    1. University of Otago, Christchurch, New Zealand

      Abstract

      Clinical Bottom Line

      • Most patients who have had an appendiceal mass successfully treated conservatively do not get a recurrence of appendicitis (Recommendation Grade B)

      • The few patients who get recurrence may do so within months of initial presentation (Recommendation Grade B)

      • Interval appendectomy is not necessary or cost-effective for managing appendiceal masses. Rather, patients should be alerted to the possibility of a recurrence of appendicitis and encouraged to seek medical attention early should that occur, so an appendectomy can be undertaken at that time. (Recommendation Grade A)

      • appendectomy
      • appendiceal abscess
      • appendiceal mass
      • interval appendectomy

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