In 2015 about 11.6 million cases of appendicitis occurred which resulted in about 50,100 deaths. It is one of the most common and significant causes of abdominal pain that comes on quickly. Antibiotics may be equally effective in certain cases of non-ruptured appendicitis.
Surgery decreases the risk of side effects or death associated with rupture of the appendix.
This may be done by an open incision in the abdomen ( laparotomy) or through a few smaller incisions with the help of cameras ( laparoscopy). The standard treatment for acute appendicitis is surgical removal of the appendix. However, ultrasound may be preferred as the first imaging test in children and pregnant women because of the risks associated with radiation exposure from CT scans. CT scan has been shown to be more accurate than ultrasound in detecting acute appendicitis. The two most common imaging tests used are an ultrasound and computed tomography (CT scan). In cases where the diagnosis is unclear, close observation, medical imaging, and laboratory tests can be helpful. The diagnosis of appendicitis is largely based on the person's signs and symptoms. If this process is left untreated, the appendix may burst, releasing bacteria into the abdominal cavity, leading to increased complications. The combination of inflammation, reduced blood flow to the appendix and distention of the appendix causes tissue injury and tissue death. This blockage leads to increased pressures in the appendix, decreased blood flow to the tissues of the appendix, and bacterial growth inside the appendix causing inflammation. Inflamed lymphoid tissue from a viral infection, parasites, gallstone, or tumors may also cause the blockage. This is most commonly due to a calcified "stone" made of feces. Īppendicitis is caused by a blockage of the hollow portion of the appendix. Severe complications of a ruptured appendix include widespread, painful inflammation of the inner lining of the abdominal wall and sepsis. However, approximately 40% of people do not have these typical symptoms. Symptoms commonly include right lower abdominal pain, nausea, vomiting, and decreased appetite. Surgical removal of the appendix, antibiotics Īppendicitis is inflammation of the appendix. Mesenteric adenitis, cholecystitis, psoas abscess, abdominal aortic aneurysm Periumbilical or right lower abdominal pain, vomiting, decreased appetite īased on symptoms, medical imaging, blood tests An acutely inflamed and enlarged appendix, sliced lengthwise.
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