الكلمات المفتاحية

Complicated appendicitis
التهاب الزائدة الدودية المعقد
appendicular abscess
خراج زائدي
Appendicular Mass
كتلة زائدية

كيفية الاقتباس

Yasser Abdurabu Obadiel, Ibrahim Dahan Hussein Morshed. Management of Complicated Appendicitis in Al-Thawra Modern General Hospital Sana’a -Yemen from November 2019 to November 2020: علاج التهاب الزائدة الدودية المعقد. مجلة العلوم الطبية و الصيدلانية [انترنت]. 30 سبتمبر، 2021 [وثق 18 أكتوبر، 2021];5(3):56-42. موجود في: https://ajsrp.com/journal/index.php/jmps/article/view/4203


Background: Complicated appendicitis causes morbidity and mortality more than simple appendicitis. Complicated appendicitis includes appendicular mass, appendicular abscess, perforated appendicitis.

Objective: To study presentation of complicated appendicitis regarding to age, sex and complain duration, also to study management of complicated appendicitis and his response to conservative management.

Methods: A prospective, observational study was conducted in the department of general surgery at AL-Thawra hospital during the period from Nov 2019 to Nov2020. The data was collected using clinical examination and follow up, and was analyzed using SPSS 24.

Results: A total of 57 patients diagnosed as complicated appendicitis, aged from 6 to 60 years were admitted, mean age was 28 years. Male to female ratio was 1.6:1. The complaint duration was more than 3 days in 34 cases (59%), total leucocytes count was >18 × 103 in 28 cases (49.1%). Twenty patients (35.1%) diagnosed as generalized peritonitis, 18 cases (31.6%) diagnosed as localized peritonitis, 14 patients (24.6%) diagnosed as appendicular mass, and 5 cases (8.8%) diagnosed as appendicular abscess. Forty cases (70.2%) underwent surgical intervention, whereas 17 cases (29.8%) improved with conservative management. Fifteen cases (37.5%) of operated patients underwent simple appendectomy and 13 cases (32.5%) underwent appendectomy with drain, and 12 cases (30%) underwent midline laparotomy. Most appendicular mass cases 12 (85.7%) were managed conservatively and 2 cases (14.3%) were operated. Three cases (60%) of appendicular abscess were aspirated, 2 cases (40%) were drained. Surgical site infection was 27.5% of operated cases.

Conclusions: Complicated appendicitis can be suspected through clinical presentation, duration of complains and inflammatory response. Management of complicated appendicitis varies accordingly from conservative conventional to midline laparotomy.

الحقوق الفكرية (c) 2021 المجلة العربية للعلوم ونشر الأبحاث