A member asked:

Why do some need emergency surgery for a ruptured appendix while others only need antibiotics first?

A doctor has provided 1 answer

Timing&Condition: Once appendicitis begins, the appendix will typically rupture within 2-3 days, if left untreated. If your body "band-aids" the hole closed, a smoldering infection develops best rx'd with antibiotics (+/-abscess drainage) followed by delayed appendectomy (after inflammation resolves). If the rupture is not contained (generalized peritonitis), we have no choice but to go in and remove the appendix.

Answered 12/9/2013

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