Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]

Symptoms of appendicitis

Among the most characteristic symptoms of appendicitis, which accompanies absolutely every form of it is the presence of pain in the right pubic area (the place where the abdomen passes into the pelvis). It is important to emphasise that the pain first occurs in the perineal area and only then moves on. This phenomenon is called the “displacement” symptom or Kocher’s gesture.

Other symptoms that may accompany appendicitis are fever, diarrhoea and nausea. Often the latter symptoms may also indicate that an infectious inflammatory disease, such as gastroenteritis, has caused the patient to develop this condition.

Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]

• Mechanical;
• Infectious;
• Vascular;
• Endocrine.

The most popular theory nowadays is the mechanical theory. The worm-like appendix is often located on the lower surface of the cecum and, because of its specific location, tends to retain faecal matter and semi-digested food in it. If mechanical damage occurs before the appendix is drained, there is a high probability of activation of the intestinal microflora with further development of inflammation.

Symptoms of appendicitis

Among the most characteristic symptoms of appendicitis, which accompanies absolutely every form of it is the presence of pain in the right pubic area (the place where the abdomen passes into the pelvis). It is important to emphasise that the pain first occurs in the perineal area and only then moves on. This phenomenon is called the “displacement” symptom or Kocher’s gesture.

Other symptoms that may accompany appendicitis are fever, diarrhoea and nausea. Often the latter symptoms may also indicate that an infectious inflammatory disease, such as gastroenteritis, has caused the patient to develop this condition.

Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]

Why does appendicitis occur?

Appendicitis is a disease, the exact cause of which can be difficult to determine. There are many different theories aimed at determining the cause of this pathology. Among them, we can distinguish:

• Mechanical;
• Infectious;
• Vascular;
• Endocrine.

The most popular theory nowadays is the mechanical theory. The worm-like appendix is often located on the lower surface of the cecum and, because of its specific location, tends to retain faecal matter and semi-digested food in it. If mechanical damage occurs before the appendix is drained, there is a high probability of activation of the intestinal microflora with further development of inflammation.

Symptoms of appendicitis

Among the most characteristic symptoms of appendicitis, which accompanies absolutely every form of it is the presence of pain in the right pubic area (the place where the abdomen passes into the pelvis). It is important to emphasise that the pain first occurs in the perineal area and only then moves on. This phenomenon is called the “displacement” symptom or Kocher’s gesture.

Other symptoms that may accompany appendicitis are fever, diarrhoea and nausea. Often the latter symptoms may also indicate that an infectious inflammatory disease, such as gastroenteritis, has caused the patient to develop this condition.

Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]

• Catarrhal (there is redness of the mucous membrane of the appendix);
• Phlegmonous (there is diffuse inflammation of all tissues of the appendix without clear boundaries);
• Gangrenous (there is necrosis of the tissues of the appendix);
• Perforated (there is a breakthrough of the wall of the appendix).

It is important to note that there is a classification of this pathology that is based on the position of the appendix in the abdomen. It has a strong influence on the way in which surgery will be performed, as well as on the prognosis of the course of the disease.

Why does appendicitis occur?

Appendicitis is a disease, the exact cause of which can be difficult to determine. There are many different theories aimed at determining the cause of this pathology. Among them, we can distinguish:

• Mechanical;
• Infectious;
• Vascular;
• Endocrine.

The most popular theory nowadays is the mechanical theory. The worm-like appendix is often located on the lower surface of the cecum and, because of its specific location, tends to retain faecal matter and semi-digested food in it. If mechanical damage occurs before the appendix is drained, there is a high probability of activation of the intestinal microflora with further development of inflammation.

Symptoms of appendicitis

Among the most characteristic symptoms of appendicitis, which accompanies absolutely every form of it is the presence of pain in the right pubic area (the place where the abdomen passes into the pelvis). It is important to emphasise that the pain first occurs in the perineal area and only then moves on. This phenomenon is called the “displacement” symptom or Kocher’s gesture.

Other symptoms that may accompany appendicitis are fever, diarrhoea and nausea. Often the latter symptoms may also indicate that an infectious inflammatory disease, such as gastroenteritis, has caused the patient to develop this condition.

Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]

 

• Catarrhal (there is redness of the mucous membrane of the appendix);
• Phlegmonous (there is diffuse inflammation of all tissues of the appendix without clear boundaries);
• Gangrenous (there is necrosis of the tissues of the appendix);
• Perforated (there is a breakthrough of the wall of the appendix).

It is important to note that there is a classification of this pathology that is based on the position of the appendix in the abdomen. It has a strong influence on the way in which surgery will be performed, as well as on the prognosis of the course of the disease.

Why does appendicitis occur?

Appendicitis is a disease, the exact cause of which can be difficult to determine. There are many different theories aimed at determining the cause of this pathology. Among them, we can distinguish:

• Mechanical;
• Infectious;
• Vascular;
• Endocrine.

The most popular theory nowadays is the mechanical theory. The worm-like appendix is often located on the lower surface of the cecum and, because of its specific location, tends to retain faecal matter and semi-digested food in it. If mechanical damage occurs before the appendix is drained, there is a high probability of activation of the intestinal microflora with further development of inflammation.

Symptoms of appendicitis

Among the most characteristic symptoms of appendicitis, which accompanies absolutely every form of it is the presence of pain in the right pubic area (the place where the abdomen passes into the pelvis). It is important to emphasise that the pain first occurs in the perineal area and only then moves on. This phenomenon is called the “displacement” symptom or Kocher’s gesture.

Other symptoms that may accompany appendicitis are fever, diarrhoea and nausea. Often the latter symptoms may also indicate that an infectious inflammatory disease, such as gastroenteritis, has caused the patient to develop this condition.

Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]

 

What is appendicitis?

Appendicitis is a pathology that results from inflammation of the worm-like appendix, also called the appendix. During the course of the pathology, the mucous membrane of the appendix becomes inflamed, resulting in a whole host of different negative symptoms, the most important of which is a pain in the right club area.

Varieties of appendicitis

Appendicitis, like almost any other surgical pathology, has two main types. It can be acute or chronic. It is noted that acute appendicitis leads to the development of more severe pain and much more often leads to the development of various complications. Other classifications include, for example, morphological: 

• Catarrhal (there is redness of the mucous membrane of the appendix);
• Phlegmonous (there is diffuse inflammation of all tissues of the appendix without clear boundaries);
• Gangrenous (there is necrosis of the tissues of the appendix);
• Perforated (there is a breakthrough of the wall of the appendix).

It is important to note that there is a classification of this pathology that is based on the position of the appendix in the abdomen. It has a strong influence on the way in which surgery will be performed, as well as on the prognosis of the course of the disease.

Why does appendicitis occur?

Appendicitis is a disease, the exact cause of which can be difficult to determine. There are many different theories aimed at determining the cause of this pathology. Among them, we can distinguish:

• Mechanical;
• Infectious;
• Vascular;
• Endocrine.

The most popular theory nowadays is the mechanical theory. The worm-like appendix is often located on the lower surface of the cecum and, because of its specific location, tends to retain faecal matter and semi-digested food in it. If mechanical damage occurs before the appendix is drained, there is a high probability of activation of the intestinal microflora with further development of inflammation.

Symptoms of appendicitis

Among the most characteristic symptoms of appendicitis, which accompanies absolutely every form of it is the presence of pain in the right pubic area (the place where the abdomen passes into the pelvis). It is important to emphasise that the pain first occurs in the perineal area and only then moves on. This phenomenon is called the “displacement” symptom or Kocher’s gesture.

Other symptoms that may accompany appendicitis are fever, diarrhoea and nausea. Often the latter symptoms may also indicate that an infectious inflammatory disease, such as gastroenteritis, has caused the patient to develop this condition.

Diagnosis of appendicitis

To diagnose appendicitis, palpation is mainly used. There are a series of different specific symptoms that help confirm the diagnosis. They have a common name: symptoms of peritoneal irritation. Here are some of them:

• Pain in the right half of the abdomen when pressed;
• Pain at the point of Mac – Burney (occurs at the site of projection of the base of the appendix on the anterior abdominal wall) when pressed;
• Bartomier-Michelson’s symptom – strengthening of painful sensations lying on the left side at palpation of a caecum;
• Measurement symptom – fever in the left armpit compared to the right;
• Dolinov’s symptom – when the abdomen is retracted, the pain in the right iliac region increases.

In general, it should be noted that modern surgeons have identified a large number of different symptoms and syndromes that help confirm or refute the diagnosis of appendicitis. The non-specific signs that help confirm the diagnosis are the changes in the blood count, which are characteristic of all inflammatory diseases (increase in white blood cell count, the shift of the white blood cell formula to the left etc.).

Treatment of appendicitis

In most cases, modern surgeons offer patients surgical treatment for this pathology. Surgery should not be avoided, because statistics show that more than 90% of all operations in this area end positively. Treatment often begins with the administration of a variety of broad-spectrum antibiotics and saline solutions.

As a rule, surgery to remove the appendix (appendectomy) is performed in an emergency. Today, patients have a choice between open and laparoscopic surgery. Most modern surgeons recommend the laparoscopic procedure, except when the appendix is difficult to access (retrocecal).

Possible complications

Appendicitis is one of the most common pathologies that lead to the development of peritonitis. It is important to note, however, that the reason for this is not the complexity of the pathology itself, but its high frequency of occurrence. Peritonitis is an inflammation of the peritoneum, a specific film that covers all other organs of the abdominal cavity.

It is also important to mention that peritonitis is usually associated with a perforative form of appendicitis. This results in a situation where a large amount of intestine escapes into the abdominal cavity causing irritation and inflammation of the peritoneum.
Other possible complications include the standard set – unstable sutures, inflammation of the sutures and surrounding tissues and organs, and adhesions. Sometimes, if treated too late, an appendicular abscess can develop, which can take a long time to heal.

Prognosis

As a rule, the prognosis after an appendectomy is positive for the patient’s life and health, especially if the disease occurred without complications before and after surgery. In some cases, it will be necessary to follow a diet and take antibacterial agents for a certain period.

 

[/vc_column_text][/vc_column][/vc_row]