Management of patients with appendicular mass, in the general surgery service at the Hospital Nacional de Itauguá in the period 2011-2021

Abstract

Introduction: this study seeks to determine the characteristics and management of patients with appendiceal mass at the General Surgery Service at the Hospital Nacional de Itauguá, an infrequent pathology manifested as an inflammatory tumor consisting of the inflamed appendix, adjacent viscera and greater omentum when the organism manages to partially control appendicitis, thus avoiding peritonitis. Methods: retrospective, descriptive study, being variables: reason for consultation, days of illness and hospitalization, treatment, etc. Results: of the total of 50 samples, 88% consulted for pain, the average number of days of illness is 9 days and hospitalization 11 days, on physical examination 82% presented a tumor in the right iliac fossa. 56% required surgery: 16 were cavity lavage plus drainage, 1 case right colectomy and 2 cases percutaneous drainage. Conclusion: According to the bibliographies, in recent years a conservative attitude is spreading. In our work, however, immediate surgery was performed in 56% of the cases, we did not verify the use of delayed surgery, probably due to lack of follow-up. Most come with symptoms of approximately 9 days, already as a ruptured abscess in the cavity, so the most used technique was lavage + cavity drainage.