Laparoscopic management of appendicular mass a case report

Background:Laparoscopic appendectomy is becoming the preferred technique for treating acute appendicitis. Although laparoscopic appendectomies (LAs) are performed universally, a controversy still exists whether the LA is an appropriate surgical approach to complicated appendicitis (CA). This case report 14 Published by DiscoverSys | Bali Med J 2019; 8(2): 1-65 | doi: 10.15562/bmj.v8i1.1540 ABSTRACT was author experience in treating complicated appendicitis with laparoscopic for appendicular mass. Case: A 58 years old male, Balinese, was presented with abdominal pain for 2 weeks. His abdominal examination revealed a right lower quadrant tenderness and a round mobile palpable mass in the right lower quadrant. The patient underwent abdominal ultrasound revealed periappendicular infiltrate with intraluminal mass. Intraoperative finding was gangrenous appendix covered with oementum, with adhesion to adjacent structure. The adhesion was released gently with laparoscopic, followed by omentectomy, and appendectomy with laparoscopic. The findings suggest that laparoscopic appendectomy is feasible in patients with appendicular mass. Conclusion: Our experience demonstrated that treatment of complicated appendicitis laparoscopically is feasible, safe and can offer a low incidence of infectious complications, less post-operative pain, rapid recovery and better cosmesis on the expense of longer operating time than OA Keywords: laparoscopic, complicated appendicectomy, intraabdominal mass.