Acute appendicitis

Behandeling volgens de nieuwe richtlijn
Klinische les
Wouter J. Bom, Max Knaapen, Ramon R. Gorter en Charles C. van Rossem

Dames en Heren,

Een pati√ęnt met appendicitis hoeft niet altijd geopereerd te worden. Wanneer volgens de nieuwste richtlijnen onderscheid wordt gemaakt tussen een simpele en een complexe blindedarmontsteking, kan antibiotica soms volstaan.

Acute appendicitis: treatment in accordance with new guideline

In this clinical lesson we present two patient cases. A 66-year-old female patient with a clinical, biochemical and radiological suspicion of complex appendicitis. The patient undergoes an appendectomy and post-operative recovery is beset with complications. The other case involves a 24-year-old male patient with suspected simple appendicitis. He is successfully treated with antibiotics and without surgery. By using these patients as examples, we discuss the revised clinical guideline for diagnosing and treating acute appendicitis. Besides that, we also discuss the differentiation between simple and complex appendicitis and how this can influence the treatment plan.

Conflict of interest and financial support: potential conflicts of interest have been reported for this article. ICMJE forms provided by the authors are available online along with the full text of this article.