Appendicitis - Causes, symptoms , surgery to remove


1. Acute appendicitis in adults and children: causes and possible symptoms

2. Diagnosis of the disease

3. traditional surgical and endoscopic (laparoscopic) removal of appendicitis inadults and children

Appendicitis - a disease characterized by an acute inflammation of the appendix - the appendix cecum.

Acute appendicitis in adults and children: causes and possible symptoms

inflamed appendix is ​​called appendicitis.Due to the fact that the disease develops very rapidly, and its symptoms generally pronounced the term "appendicitis" added to the definition of "sharp".

Causes of acute appendicitis:

  • blockage of the lumen of the appendix due popadaniyav his feces or mucus thickening allocated to them;inflammation occurs after the sealed appendage to intestinal bacteria begin to multiply;
  • inflamed appendix may occur due to the introduction of infection into it lymphogenous (through lymphatics) or hematogenous (through the blood vessels) by.

development of appendicitis

symptoms in adults is as follows:

1. Inflammation of the appendix starting to show fuzzy, scattered throughout the abdominal pain.

2. Man loses appetite, feel nauseous, which is often accompanied by vomiting.

3. The body temperature rises, and is within 37-38? C.

4. For temperature joins headache, general weakness and irritability.

5. With the spread of inflammation pain increases and gets a clear localized character.As a rule, it is felt in the lower right abdomen, just below the iliac bone.

6. In the case of appendicitis pain gap "spreads" throughout the abdomen.

symptoms of appendicitis in adults is not always identical to the pattern induced higher.Each person has their own characteristics of the disease.

Older people have symptoms of appendicitis are usually less pronounced.The pain is dull, aching in nature, the temperature increase is observed.

Appendicitis - a disease inherent in both adults and children, in particular babies up to three years.Appendicitis in children is caused by the transferred child viral diseases, hypothermia, and impaired immunity.

Unlike adult acute appendicitis in children almost immediately manifests itself with pain in the right lower abdomen, which is exactly in the place of the appendix localization.This is due to the fact that the child is much faster than in adults for the inflammatory process itself.Pain can wear unbearably acute or extremely oblique and aching in nature.

Nausea, vomiting, fatigue, moodiness, lethargy, pale skin color, lack of appetite - constant symptoms of appendicitis in children, but the fever is not observed in each child.

identify the disease in infants toddlers can be very difficult.The good news is that acute appendicitis in infants is a rare phenomenon.

disease diagnosis

The first thing that has to do with the surgeon to diagnose appendicitis - conduct palpation (feeling) its location.Suspected acute appendicitis occurs in the case if the doctor will grope small seal, and the patient will feel a significant increase in pain at the site of the appendix.In order to confirm or refute the probability of appendicitis in children the same procedure can be done at home, to a doctor soon.

At present there is no single accurate method of diagnosis of acute appendicitis.diagnosing problems related to the high mobility of the appendix, as well as with significant similarity appendicitis symptoms with symptoms of other diseases of the abdominal cavity.

CBC carried out to determine the level of white blood cells.Moderately elevated levels of white blood cells indicates inflammation in the body, which may well be an inflammation of the appendix.Nevertheless, not infrequently leukocytosis a symptom of many other diseases.

urinalysis is also not sufficiently effective in the diagnosis of acute appendicitis, because the presence of red blood cells, white blood cells, bacteria in the patient's urine may well be a sign of other diseases, such as urinary tract infections.

Ultrasound - a diagnostic compulsory event for suspected acute appendicitis.But ultrasound can reveal inflammation of the appendix only every second patient.

Among other methods of diagnosis of appendicitis release: X-ray of the abdomen, CT scan, as well as laparoscopic examination, the final stage which becomes laparoscopic appendectomy.

traditional surgical and endoscopic (laparoscopic) removal of appendicitis in adults and children

Treatment appendicitis performed surgically.Do not be afraid of the operation and the more delay the it.Especially it concerns the operation on appendicitis in children, because it is the children development of the disease takes place at lightning speed, from the first symptoms of appendicitis to peritonitis takes from several hours to one day.A peritonitis, as you know, is a very dangerous condition that occurs after the rupture of the appendix, and characterized by the spread throughout the abdominal cavity infection.

removal of appendicitis in adults and children is:

1. The traditional surgery (appendectomy)

2. endoscopic (laparoscopic) intervention (laparoscopic appendectomy)

With traditional surgical removal of appendicitis is necessary to make a cut in length from 5 to 10ti centimeters.Through the incision the surgeon "commute" to the dome of the cecum and appendix cuts.

After removal of appendicitis require antibiotic therapy, which aims to - prevent the spread of infection in the abdominal cavity.

increasingly popular method of treatment of diseases of internal organs becomes endoscopic treatment.Endoscopic intervention in the abdominal and pelvic organs is called laparoscopy.Laparoscopic appendectomy is performed through a small incision (puncture) in the abdominal wall.With the help of a special optical device, and various manipulators laparoskopichnyh surgeon performs appendectomy.

advantages over conventional laparoscopy surgery consist in its low-impact (as it is in good cosmetic effect after the operation), and in the absence of the likelihood of infection in the postoperative wound.

In some cases, running around the inflamed appendix is ​​formed appendicular infiltration, in other words, to the appendage "stick" part of the nearby abdominal contents, namely, the blind and the small intestine, omentum, etc.In this case, to prevent damage to these organs surgeon does not perform appendectomy.All that he can do - drainage of the abdominal cavity to remove an abscess.After some time (3-4 months) after conservative treatment of infiltration can be carried out surgical removal of appendicitis.Until that time, the disease is called chronic appendicitis.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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