What is appendicitis?
Appendicitis means inflammation of the appendix.
What is the appendix?
Is a small organ attached to the intestine, which is located in the lower right abdomen above the groin.The function of the appendix is not yet clear by doctors, but it is believed that its function is to protect and help reproduction of beneficial microorganisms in our intestinal flora.
Appendicitis is a condition that requires emergency operation more frequently in childhood.Rapid identification of appendicitis helps reduce complications such as peritonitis. However, the diagnosis in young children can be difficult, allowing the box to the drilling progresses.
Who gets appendicitis?
All persons, regardless or age or sex. However, the most common age of onset is between seven to 15 years, only a small proportion occurs in children under two years, although cases have been reported in newborns.
Why the appendix is inflamed?
The appendix becomes inflamed due to an obstruction of the appendix by fecal matter, but may also be due to inflammation of the appendix mucosa by bacterial infections such as salmonella, and shigella Versini.
What are the symptoms of appendicitis?
The main symptom is your stomach hurts always, usually begins in the upper abdomen to settle later in the lower right abdomen known as the iliac fossa, which is persistent, consistent, well located and is accentuated with movement, deep breathing, coughing or sneezing, also:
Difficult to stand.
Lack of appetite
Sensation to urinate
Abdominal distention and bloating especially in children
Nausea and vomiting are common, but are not so constant. Vomiting are almost always present after starting the pain is not abundant or rare and are more rare in children older than smaller ones.
What studies confirm appendicitis?
The blood test shows increased white blood cells and is a useful diagnostic aid, although it may be missing or be less noticeable on the first day of illness or vary according to age. The urine test is guiding for bacteria in the sample, but an inflamed appendix lies on the bladder, can also cause this finding. Plain abdominal radiography may be of great guidance and confirmatory ultrasound is when the appendix has ruptured.
What diseases can be confused with appendicitis?
Gastroenteritis caused by bacteria such as Salmonella Yersenia and an intussusception or a urinary tract infection can produce symptoms in the right lower abdomen, highly suggestive of appendicitis. Many originate gastroenteritis abdominal pain, usually located in the middle and lower abdomen, worse food and irritation data may suggest, although there early fever, headache and chills that go in favor of a systemic infection to a localized process as appendicitis in the acute phase.
The lung infection may cause lower abdominal irritation so intense that to suspect appendicitis. Vulvovaginitis is accompanied by heavy bleeding and abdominal pain often causes smelly that may confuse the physician.
What is the treatment of appendicitis?
It is safer to operate than not to operate, and the occasional removal of a normal appendix does not indicate a poor surgical view, because there is diagnostic doubt, as in the case of the teenager, which is common in gynecologic pathology, or child taken antibiotics or painkillers. The diagnostic laparoscopy is of great interest, is indeed the best way to reach a diagnosis and to solve it in the same way when performing an appendectomy. After an uncomplicated appendectomy, children can start with liquids a few hours of operation, followed by light diet and one or two days later with normal diet.
Complications of appendicitis
If appendicitis is not treated in time can cause serious complications that can kill the patient. The appendix can rupture and create a serious infection known as peritonitis, with a high fever of 40 ° C or 106.4 ° F or higher. The pain becomes very sharp almost unbearable. Immediate surgery is necessary.
What are the complications of appendectomy?
The most important complication is intra-abdominal abscess and the most common is infection of the wound, which occurs when the diagnosis is delayed. But these can be prevented by prompt recognition and indication for surgery properly.