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Is Interval Appendectomy necessary after successful conservative treatment of appendiceal mass in children?

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Is Interval Appendectomy necessary after successful conservative treatment of appendiceal mass in children?

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Clinical Bottom Line • Most patients who have had an appendiceal mass successfully treated conservatively do not get a recurrence of appendicitis (Recommendation Grade B) • The few patients who get recurrence may do so within months of initial presentation (Recommendation Grade B) • Interval appendectomy is not necessary or cost-effective for managing appendiceal masses. Rather, patients should be alerted to the possibility of a recurrence of appendicitis and encouraged to seek medical attention early should that occur, so an appendectomy can be undertaken at that time.

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