A Case of Successful Colonoscopic Drainage of Peri-appendiceal Abscess Complicating Acute Appendicitis.
- Author:
Seong Nam OH
1
;
Jong Jae PARK
;
Soo Hyun AHN
;
Do Won CHOI
;
Du Rang KIM
;
Nam Young JO
;
Chang Won CHOI
;
Dong Hyun SHIN
;
Hyo Jung KIM
;
Kyung Mook CHOI
;
Jae Seon KIM
;
Sei Hyun BAIK
;
Kwan Soo BYUN
;
Young Tae BAK
;
Chang Hong LEE
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Peri-appendiceal abscess;
Acute appendicitis;
Colonoscopy;
Transmural internal drainage
- MeSH:
Abscess*;
Appendectomy;
Appendicitis*;
Colonoscopy;
Drainage*;
Pancreatic Pseudocyst
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(2):107-111
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Traditionally, early appendectomy has been the cornerstone of therapy for acute appendicitis. However, once appendiceal perforation and abscess formation occurs, the optimal means of treatment and the timing of operation is controversial. Recently, it was reported that radiologically guided percutaneous abscess drainage and antibiotic therapy, as an initial nonoperative management, was effective and safe. Recent experience with endoscopic transmural drainage of pancreatic pseudocysts or even pancreatic abscesses prompted us to use the similar technique for the primary treatment of peri-appendiceal abscess. We report a case of peri-appendiceal abscess complicating acute appendicitis which was successfully treated by colonoscopic transmural internal drainage.
