Title

Comparative evaluation of ultrasound-guided versus operative drainage for pediatric appendicular abscess: Effectiveness, safety and clinical outcomes

Authors

K M Shaiful Islam^1,*, Nazmus Sakib Ferdous², Syeda Tamanna Tanjil³, Md Rassell⁴, Zannatul Ferdous Peu¹ & Ashraf Ul Huq²

Affiliation

¹Department of Paediatric Surgery, Bangladesh Medical University, Dhaka, Bangladesh; ²Department of Paediatric Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh; ³Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, Shahbag, Dhaka, Bangladesh; ⁴Department of Surgical Oncology, Bangladesh Medical University, Dhaka, Bangladesh; *Corresponding author

Email

K.M. Shaiful Islam - E-mail: drsaiful4308@bsmmu.edu.bd
Nazmus Sakib Ferdous - E-mail: ferdousn3@gmail.com
Syeda Tamanna Tanjil - E-mail: drtamannacmc49@gmail.com
Md Rassell - E-mail: rassell@bsmmu.edu.bd
Zannatul Ferdous Peu - E-mail: zfpeu16@bsmmu.edu.bd
Ashraf Ul Huq - E-mail: kazal64@yahoo.com

Article Type

Research Article

Date

Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025

Abstract

The optimal management of appendicular abscess in children remains a challenge, with ongoing debate over the most effective treatment approach. Therefore, it is of interest to compare ultrasound-guided drainage (UD) and operative drainage (OD) for the treatment of appendicular abscess in children. Sixty patients were analyzed, with 30 undergoing OD and 30 undergoing UD. The UD group had significantly lower pain scores, body temperature and white blood cell counts, along with a shorter hospital stay compared with the OD group. Post-procedural complications were more frequent in the OD group. Thus, we show that ultrasound-guided drainage is a safe and superior alternative to operative drainage for appendicular abscess in children.

Keywords

Appendicular abscess, ultrasound-guided drainage, operative drainage, pediatric surgery, post-operative complications

Citation

Islam et al. Bioinformation 21(12): 4974-4979 (2025)

Edited by

Ritik Kashwani

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.