Published: 2020-08-27

Laparoscopic management of appendicular lump

Manoj Kumar Chaudhary, Mrinal Shankar, Tridip Dutta Baruah, Rubik Ray, Shubham Samal


The surgical management of an appendicular lump remains controversial. With the revolution and advancement of laparoscopic instrumentation and technical learning curve, it is possible to remove an inflamed appendix in presence of lump. This retrospective study was performed between August 2018 and August 2019 in AIIMS Raipur, 86 patients were treated for appendicitis laparoscopically, in these 14 patients had appendicular lump at the time of admission. 12 patients (total 14; 2 patients were excluded) underwent laparoscopic intervention for appendicular lump. Average operative time were 90 minutes. Average post-operative hospital stay were 5 days. Post-operative complications were seen in 2 patients (surgical site infection). In histopathology report, appendicular inflammation suggestive of appendicitis were present in all operated cases. We conclude, early laparoscopic appendectomy confirms the diagnosis. It is safe and feasible in patients with appendicular lump. It reduces the treatment cost, early recovery and satisfactory overall outcome.


Appendicitis, Inflamed appendix, Appendicular lump, Laparoscopic management

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Bahram MA. Evaluation of early surgical management of complicated appendicitis by appendicular mass. Int J Surg. 2011;9(1):101-3.

Teixeira FJR, Netto SDDC, Akaishi EH, Utiyama EM, Menegozzo CAM, Rocha MC. Acute appendicitis, inflammatory appendiceal mass and the risk of a hidden malignant tumor: a systematic review of the literature. World J Emergency Surg. 2017;12:12.

Patel BJ, Patel KH. A comparative study of appendicular lump management. Int Surg J. 2015;2(2):235-8.

Gedam BS, Gujela A, Bansod PY, Akhtar M. Study of conservative treatment in uncomplicated acute appendicitis. Int Surg J. 2017;4(4):1409-16.

Pandey CP, Kesharwani RC, Chauhan CG, Pandey MK, Mittra P, Kumar P, et al. Management of appendicular lump: early exploration vs. conservative management. Int J Med Sci Public Health. 2013;2:1067-70.

Ali S, Rafique HM. Appendicular mass: early exploration vs conservative management. Professional Med J. 2010;17(2):180-4.

Malik AA, Wani ML, Irshad I. Evaluating conservative treatment for acute appendicitis with lump formation. J Emergencies Trauma Shock. 2012;5(1):33-5.

Prasad BH, Prasanth G. Laproscopic management of appendicular mass. Int Surg J. 2018;5(4):1259-62.

Shindholimath VV, Thinakaran K, Rao TN, Veerappa YV. Laparoscopic management of appendicular mass. J Minim Access Surg. 2011;7(2):136-40.

Pandey CP, Kesharwani RC, Chauhan CGS, Pandey MK, Mittra P, Kumar P, et al. Management of Appendicular Lump: Early exploration Vs conservative management. Int J Med Sci Public Health. 2013;2(4):1046-9.