Management of XXXX presenting with @entity733 or mass.

@entity1 @entity697 @entity698 @entity260 @entity733
PURPOSE: Management strategy in @entity697 @entity1 initially presenting with @entity733 or mass is surrounded with controversy. This study was performed to identify the outcomes of management for this condition. METHODS: We retrospectively analyzed prospectively registered 76 @entity1 (male:female = 39:37; mean age, 50.8 years) with @entity698 presenting with @entity733 or mass over a 9-year period at the Seoul National University Hospital. @entity1 were divided into three groups (emergency operation group, delayed operation group, and follow-up group), and clinical characteristics and outcomes of treatment were investigated. RESULTS: Twenty-eight @entity1 (36.8%) underwent an emergency operation. Of the remaining 48 @entity1 , 20 (41.7%) were initially treated with conservative management through the use of antibiotics only; the other 28 (58.3%) with and additional ultrasound-guided percutaneous drainage of the @entity733 . Twenty-six (54.2%) @entity1 underwent planned operations after conservative management, and 22 (45.8%) were followed without surgery (median duration, 37.8 month), of which 3 (13%) underwent an appendectomy due to @entity698 (mean of 56.7 days after initial attack). There were no statistical differences in types of operation performed (appendectomy or ileocecectomy), @entity260 , and postoperative hospital stay among the @entity1 who underwent emergency operations, delayed operations and operations for recurrence during follow-up. CONCLUSION: Although the recurrence rate was relatively low after conservative management for @entity698 @entity1 presenting with @entity733 or mass, there was no difference in surgical outcome between the emergent, elective, or recurrent groups. Our results indicate that proper management of @entity698 with @entity733 or mass can be selected according to surgeon's preference.
