Case: A 30-year-old woman, pain abdomen 3 days vomiting and fever Examination: Abdominal examination revealed a diffuse lump. CT scan shows a lump as marked Management: Exploration at this stage may lead to problems Conservative treatment (Ochsner-Sherren regimen) comprises hospitalization, intravenous fluids, antibiotics, analgesics and a strict watch on the vitals and general state of the patient. In 90-80% of the patients, the mass resolves without complications.
A conservative management is still a highly acceptable approach for appendix mass. This should be followed with interval appendicectomy especially in patients with persistent right iliac fossa pain. We recommend initially conservative approach to the management of appendiceal mass especially in our environment.
