Appendicitis is an inflammation of the appendix. The appendix
can become blocked by feces that enter and have no way
of exiting. Once the appendix becomes blocked, it begins
to swell and become infected.
Surgical removal or appendectomy is generally the only
method used in treating appendicitis due to the increased
risk of the appendix rupturing. A ruptured appendix
can lead to peritonitis (infection of the lining of
the abdomen and abdominal organs) and abscess.
Appendicitis is considered a medical
emergency.
The first signs and symptoms of appendicitis is a dull
achy pain around the navel that shifts to the lower
right abdomen. As the infection increases, so does the
pain. During an exam, when pressure is applied to the
lower right portion of the abdomen, the area feels tender.
When the pressure is removed, the pain severely increases.
This is called rebound pain and is classic to appendicitis.
Other appendicitis symptoms that accompany
lower right abdominal pain are:
- Loss of appetite
- Nausea and/or vomiting
- Constipation
- Abdominal swelling
- Fever
Children are much more likely to experience a ruptured
appendix then an adult. If your child complains of a
stomach ache, especially lower abdominal pain, do not
delay in seeking medical treatment.
During an exam, a doctor may order several tests trying
to make a diagnosis or rule out other conditions. Typically
blood tests and a urine test will be ordered to check
for elevated white blood cells.
Ultrasounds and CT scans are used to make a definitive
diagnosis. A CT scan allows a doctor to better visualize
internal organs.
Once a diagnosis is made, surgery will be performed.
Doctors can choose to remove the appendix by open surgery-making
an incision into the abdomen or laparoscopic surgery.
Laparoscopic surgery involves the use of a laparoscope.
A small incision is made into your abdomen so that the
scope can fit and another small incision is made to
fit small instruments to remove the appendix. After
laparoscopic surgery is performed, several small “stab”
holes will be present, instead of one long incision.
Recovery time is generally quicker and involves less
scaring when the laparoscopic method is used.
Both methods require general anesthesia to be used.
Appendectomies are currently the most common abdominal
surgery performed in the United States.
© Rebecca Pillar 2007
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