Lymphoid hyperplasia of the appendix in children; its relation to recurrent appendicitis
. Ann Surg 1924;79:871-8.
. Br J Surg 1997; 84(1): 110-2.
Patients who were previously admitted for recurrent appendicitis
and readmitted for interval appendicectomy and those who are already diagnosed by ultrasonography or CT scan were not included in the study.
The arguments against a nonoperative approach include the risk of recurrent appendicitis
, including the anxiety associated with any recurrences of abdominal pain, the risk of antibiotic-related complications, the potential for increased duration of hospitalization, and the relatively low morbidity of appendectomy in children.
Group 1 Emergency surgery group Group 2 Conservative group * 2A Patients who underwent interval appendectomy * 2B High-risk patients who were kept on follow-up * 2C Patients on follow-up who underwent appendectomy due to recurrent appendicitis
[FIGURE 1 OMITTED]
Individuals coded with unspecified or other appendicitis (e.g., chronic or recurrent appendicitis
) were excluded.
after laproscopic appendectomy.
"Appendectomy may be reserved for antibiotic treatment failure and recurrent appendicitis
," she said.
Histopathological analysis confirmed the clinical suspicion of recurrent appendicitis
in the appendix stump.
In 1886, Reginald Fitz described several cases of alleged recurrent appendicitis
in his classic comprehensive view of the "new" illness of appendicitis.
Laparoscopic findings include acute recurrent appendicitis
in 32 (29.09%) patients, cholecystitis with biliary sludge in 14 (12.72%), pelvic inflammatory disease in 12 (10.90%), ovarian cyst in 11(10%), adhesions in 10(9.09%), intestinal tuberculosis in 8 (7.27%), mesenteric lymphadenitis in 7 (6.36%), lymphoma in 4 (3.63%), ectopic pregnancy in 3 (2.7%), CA gallbladder in 2 (1.81%), meckels diverticulum in 2 (1.81%), endometriosis in 2 (1.81%) and crohns disease in 1 (0.9%) patients.
These patients may have had chronic or recurrent appendicitis