Question
What should I do if my child’s appendix has perforated? A year ago, they couldn’t undergo surgery due to an appendicitis perforation and were only treated with medication. Now, it has recurred, and the doctor still doesn’t recommend surgery. I hope to consult with a physician on how to treat it.
Answer
Blood tests show a decrease in blood count and inflammation, with an MRI confirming appendicitis and perforation. Conservative treatment is recommended, but if the condition cannot be controlled, an adventurous surgery may be necessary. During surgery, complications such as inflamed gangrene of the appendix, gangrene at the base of the appendix, and perforation at the ileocecal junction may be encountered. In the worst-case scenario, a colostomy may be required. If the base of the appendix is not gangrenous, the appendix can be completely removed, abdominal fluid drained, and a drain tube placed. There is a high risk of postoperative incision infection, but it is not the main concern.