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Mother aged 65 had her appendicties burst. surgery required?

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My Mother aged 65 had her appendicties burst.Ultra sound says there is a lump and some liquid flow.She never had any surgery before for appendcities.She aslo has a problem of high BP.
I want to to understand if surgery is required for this case.What are the risk involved.How much complicate this issue can be.
The doctors are currently keeping her on medication and have postponed the decission of surgery for another couple of days.Another doctors opinion was that a lump should not be touched with surgery and it should be taken care by medicines only.As of now they have also stopped anything intake through mouth.

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replied January 20th, 2012
Appendix and Appendicitis Answer A30589
Hello and welcome to e health forum.

From the description provided , it seems that your mother may have a Infected Appendix with rupture, with resultant Abscess formation.

In conditions like appendicitis, oral intake of food, is not allowed. Nutrition is provided via IV fluids during this stage.

Keeping your age and medical status of your mother in mind, your doctors might be trying a conservative approach to treat the condition with antibiotics and supportive therapy.

In cases where the condition is diagnosed late, and the appendix ruptures, the surrounding structures including the omentum and intestines get adherent to it (felt as a lump). During this period, surgery is risky unless there is pus formation evident by fever and toxicity or by imaging studies. Conservative Medical management is more often used in such condition.

Once the medications have contained the infection, and there is improvement in your mothers ability to withstand the surgery, surgical treatment might be initiated.

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