An Overview on Treatment of Appendicular Abscess
Keywords:
Appendicular abscess, Appendicitis, Interval appendectomy, Percutaneous drainage, Antibiotic therapy, Complicated appendicitis, Intra-abdominal abscess, Conservative management.Abstract
An appendicular abscess is a localized collection of pus resulting from perforation or gangrene of the appendix, often due to delayed diagnosis or treatment of acute appendicitis. It represents a protective mechanism where the omentum and surrounding bowel loops wall off the infection, preventing generalized peritonitis. The incidence varies globally, with higher rates in regions with limited access to early surgical care. Management strategies have evolved from emergency appendectomy to more conservative approaches, including intravenous antibiotics and image-guided percutaneous drainage, followed by interval appendectomy when indicated. The choice of treatment depends on the patient’s clinical status, size and location of the abscess, available resources, and surgeon’s expertise.