PMID: 7547800Jun 1, 1995Paper

Medical treatment of postappendectomy intraperitoneal abscesses in children

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Y HélouryV Plattner

Abstract

Treatment of postappendectomy intraperitoneal abscesses is classically surgical (drainage). We report a retrospective study (1988 to 1991) of our experience in providing exclusively medical treatment for 11 such isolated abscesses in children. The abscess was detected 7 times within the 10 days following appendectomy. Ultrasonography localized the abscess 7 times in the right iliac fossa and 4 times in Douglas' pouch. In 4 cases it was larger than 5 cm in diameter. Parenteral antibiotic therapy associated ticarcillin and clavulanic acid 6 times and piperacillin, tobramycin and metronidazole 5 times. Drug efficacy was evaluated by clinical signs (fever, pain, ileus) and ultrasonography. In one case, an associated ileus led to reoperation at day 4 of treatment. In the other 10 cases, clinical signs disappeared during the first week of treatment. At day 7, parenteral was replaced by oral antibiotic therapy (metronidazole 7 times, amoxicillin-clavulanic acid 3 times) continued until the abscess was no longer visualized on ultrasonography (5 times at 3 weeks, 5 times at 1 month). Medical treatment of isolated postappendectomy abscesses in children would thus appear to be a logical choice in the absence of an associated ileus.

Citations

Feb 25, 2005·AJR. American Journal of Roentgenology·Gladwin C HuiBairbre Connolly
Jan 25, 2013·Pediatric Surgery International·Alessandra C GasiorShawn D St Peter
Jun 21, 2011·Journal of Pediatric Surgery·Hannah G PiperJoseph T Murphy
Oct 9, 2015·Gastroenterology Research and Practice·Mbaye FallIbrahima Fall
Aug 10, 2002·American Journal of Surgery·Stéphane BenoistPatrice Valleur
Nov 28, 2018·World Journal of Surgery·Matthew G R AllawayMichael R Cox
Oct 16, 2010·Italian Journal of Pediatrics·Mahdi Ben DhaouBéji Chaouachi

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