Appendicitis: surgery versus non surgical management guidelines
Greetings. Pathologists’ assistant here. I have some questions about appendectomies. Obviously this is anecdotal, but is there an increasing trend of treating suspected appendicitis with antibiotics, drain, and imaging rather than surgery?
In the past week to ten days we’ve received multiple cases of presumed appendicitis that was a malignancy. By the time the malignancy caused symptoms, the cancer had spread all over the abdomen and the surgeries these patients received were en bloc resections of multiple organs.
I know that surgical guidelines are above our pay grade, and correct me if I’m wrong, but aren’t around 1-2% of appendectomies positive for malignancy? It seems as though conservative treatment is going to miss those.