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| Lenka Katila Appendicitis |
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| Definition: Acute bacterial infection of the processus vermiformis Anatomy : see the picture |
| Ethiology,: Contributing factors: intraluminal obstruction faecolit lymphoid hyperplasia parasites tumor of the caecum Age: Can come in any age, but mostly adolescents, youngadults ( 15 - 24 years) Most often surgery at the infants and children. |
| Pathophysiology: Process is continuing in this order. Inflammation in the tissue Swalling of the lymphatic tissue Oedema Iischemia in all layers Gangrene Perforation Difuse peritonitis Chock Death All process does not have to be longer than 24 - 48 hours. |
| Symptoms: PAIN: Very often begins in the medial epigastrium and within few hours gets more and more localized to the right lower quadrant. The pain is steady, localized, but accentuated by the movement. OTHER SYMPTOMS: -nausea, vomiting - flatulence, constipation or diarhoe mild fever or subfebrilia |
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| Positions of appendix: Inquinal position - appendix is laying in the inquina. Pain is mostly provocated to the McBurney� point. Psoas sign - passive hypertension. Retrocaecal position - no musclespasm, subcostal irritation. Intrapelvic position - imitating the urinary tract pain, rectla tenderness, hematuria, burning during urination. Situs viscerum inversus - atypical possision - mirror- like position of the organs. |
| Diagnosis: Symptoms Laboratory : Leukocytes, CRP. Subfebrilia or fever. Ev. laparoscopic surgery |
| Treatement: appendectomy laparoscopic -especially at ferile woman open - especially we expect any complications or we are not sure about the reason for acute abdominal pain Adjuvant therapy: antibiotic treatement. Antithrombotic prophylax. |
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| Click on the title to read about the procedure |
| Complications: - adhesions - lymphadenitis - adnexitis - infertility - developing of abscess |