Patients with appendicitis who are left untreated or unoperated for more than 3 days are prone to forming periappendiceal abscesses, and surgery at this time is prone to enterocutaneous fistulae or hemorrhage, so surgery at this time is generally not recommended.
If appendicitis is left untreated for more than three days, a periappendiceal abscess will usually form. After the abscess is formed, the surrounding tissues, especially the wall of the cecum, are congested, edematous, fragile, and adherent, which will make the anatomical relationship unclear, not easy to separate, and easy to injure the surrounding tissues, and it will be difficult to remove the appendix at one time, and it may also lead to some injuries and complications.
After 3 days of appendicitis attack, due to severe tissue inflammation and edema, if forcibly removed, it is easy to damage the intestinal tube or lead to appendiceal stump fistula and other serious complications. At this time, if there is no peritonitis, it means that the greater omentum has wrapped the appendix, which can effectively avoid the spread of inflammation, and the infection can be effectively eliminated by intravenous antibiotic treatment with ceftriaxone sodium, levofloxacin and other antibiotics.
When treating periappendiceal abscess, non-surgical treatment is adopted in principle, and elective appendectomy can be considered after the inflammation subsides completely after 3 months.
Therefore, when the patient appears appendicitis manifestations need to promptly go to the hospital, if necessary, emergency surgical treatment, so as not to miss the time of surgery. Drugs should be applied under the guidance of a doctor.