Management of Appendicular mass/ abscess: March 2013 (a, c, e, f, g, h)

Ans. C i.e. Antibiotics and appendectomy 6 weeks later Append icular abscess The conservative management of appendicular mass can be summarized by mnemonic "ABCDEF" which is A: Analgesic, Antibiotic, antipyretic B: Bed rest C: Chaing (vital sign, size of the mass) D: Diet (Keep Nil by Mouth) E: Exploratory laparotomy KIV. F: Fluid maintenance The initial school of thought regards this condition to be managed conservatively, with the famous one being the Ochsner-Sherren regimen. The idea behind this is that, surgery would be hazardous and increase the moality rate. Surgeon who hold with this choice differs in opinion whether there is a need for interval appendectomy which usually perform after 3-6 week after the conservative management. The idea behind the interval appendectomy is to prevent recurrence of acute appendicitis and to exclude other gastrointestinal pathology especially malignancy.