Tomas Berdych, again dealing with appendicitis, might need surgery

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Tomas Berdych will not be an alternate at the ATP World Tour Finals in London. (AP)

Tomas Berdych has decided not to be an alternate at the ATP World Tour Finals in London, saying he is again experiencing appendicitis.

The 31-year-old was diagnosed with appendicitis in Cincinnati, and was sidelined for about a month.

"After discussion with doctors in Prague Hospital,” he wrote on Twitter, “I was recommended to have a break for two weeks, and then we will see what [they’re] gonna do with my appendix.”

A spokesperson for the Czech Tennis Federation said a decision about whether to have surgery would also be considered during the next two weeks.

"If I have to undergo surgery, I would like to do it as soon as possible so I can start getting ready for next season," Berdych said in a statement.

Berdych is No. 10 in the rankings.

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