Appendix is a thin tube about four inches long, which sits in the right lower abdomen at the junction of the small and large intestine.
Appendicitis is acute inflammation of the appendix. Appendicitis happens when the hollow portion of the appendix get blocked due to a calcified stone made of feces.
Other causes may include inflamed lymphoid tissue from a viral infection, tumors, gallstone,or parasites.
We have two types of appendicitis depending on the onset:
- Acute appendicitis is a sudden and severe case of appendicitis which requires immediate medical care. The symptoms develop quickly over the course of one to two days.
- Chronic appendicitis less common and the symptoms may be relatively mild. The symptoms may disappear before reappearing again over a period of days, weeks, months, or even years.
Symptoms and Signs of Appendicitis
- Periumbilical pain that shift to the right lower quadrant after a few hours
- Nausea and vomiting
- Lost of appetite
- Low grade fever
- Diarrhea
- Constipation
- Bloating abdomen
- Inability to pass gas
Classical symptoms of appendicitis include:
- Right lower quadrant direct and rebound tenderness located at the McBurney point
- Pain felt in the right lower quadrant with palpation of the left lower quadrant
If you have any of these symptoms, seek medical help immediatly
Diagnosis
- Clinical evaluation
If your symptoms are not typical, diagnosing appendicitis can be tricky.
The following tests may be needed to confirm the diagnosis and rule out other conditions
- MRI
- CT scan to check for inflammation of the appendix
- Ultrasound scan
- Blood tests to check for signs of infection
- Urine tests to rule out kidney stones or urinary tract infections
Differential diagnosis of Appendicitis
- gastroenteritis
- urinary tract infection
- crohn`s disease
- kidney stones
Treatment of Appendicitis
1. Surgical removal of the appendix which include:
- Laparotomy
- Laparoscopic
Complications of Appendicitis
- peritonitis
- abscesses