Patient's question:
In September 2018, I had an appendicitis that ruptured. The doctor said I couldn't have surgery and had to be treated with medication. It was said that I could only have surgery after a year. But now, three months later, the appendicitis has ruptured again, and the doctor still says I can't have surgery. I want to consult a doctor about how to treat my child's condition. Can surgery be performed now?Doctor's answer:
Complete blood count shows significant decline, indicating inflammation. MRI suggests appendicitis with perforation. The condition is quite complicated. In such cases, the opinion of my department is to proceed with aggressive treatment. If the condition is indeed uncontrollable, surgery must be considered, though it carries risks. During surgery, complications may arise: inflammation and gangrene of the appendix, gangrene at the base of the appendix, perforation of the cecum, and in the worst-case scenario, a colostomy may be necessary. If lucky, the inflammation of the appendix body is irrelevant as long as the base is not gangrenous and is strong enough to be completely removed. The abdominal cavity fluid should be thoroughly cleared, and a drainage tube should be placed. Postoperative wound infection is highly likely, but this is not a concern.