Appendicitis (appendicitis)

21 October 2017

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What is appendicitis?

Appendicitis (appendicitis) is a bacterial Inflammation of the appendix (Vermiform appendix), an appendage of the cecum. Quite correctly, the term appendicitis therefore is not, but has naturalized.

Of the appendix is part of the colon and is located in the right lower abdomen. The Pain, resulting from appendicitis, thus occur while mostly right , but they can also radiate to the left or affect whole abdomen.

In appendicitis show up First symptoms such as:

at children or persons older age can they symptoms weaker fail. In children, it is also often difficult to narrow down the location of the pain.

even with pregnant can they Pain in unusual places occur because the intestine and thus also caecum and appendix is ​​displaced by the pregnant belly from its usual position.

In simple appendicitis (appendicitis simplex) the inflamed tissue is not destroyed. The simple appendicitis occurs in two stages:

In the destructive appendicitis (appendicitis destructiva) the inflamed tissue decays gradually. Surgery is necessary because the inflamed appendix burst otherwise (so-called. Perforation) and bacteria and intestinal contents can enter the abdominal cavity. The destructive appendicitis runs without treatment in two stages:

Appendicitis is usually diagnosed based on the typical symptoms. Characteristic pressure and pain points (But in some cases may be absent) support the diagnosis.

Individuals with appendicitis usually have a temperature difference of more than 1 degree Celsius between the armpit and the rectum, whereby the temperature in the rectum is higher. In addition, the number of white blood cells in the blood easily propagated (leukocytosis). Moreover, here is the concentration of a particular protein (so-called. C-reactive protein, CRP), which indicates inflammation in the body is increased.

Nowadays, the ultrasound (Sonography) in the diagnosis of appendicitis become more important. A healthy, non-inflamed appendix (Appendix) is not visible in the ultrasound while the inflamed appendix in cross section may be visible as a target-like striped structure. A computed tomography (CT) can provide an indication of inflammation. It is usually not meaningful than the ultrasound and is seldom performed.

If in doubt, a definite diagnosis can only be one laparoscopy respectively. It confirms inflammation, the doctor may also operate via this access immediately.

First indications of appendicitis, the doctor often receives in that it consciously pressure with your hands on your stomach pain triggers (pain provocation).

The location of the cecum, as well as the appendix can be estimated based on the connecting line between the navel and the right iliac projection of the pelvic bone (anterior superior iliac spine). The cecum is located approximately at the center of this line - the so-called McBurney's point - and is sensitive to pressure at a appendicitis.

Of the Lanz Point denotes the direct location of the appendix and is situated between the outer and middle thirds of the connecting line between the right and left iliac projection. Again, a pain provocation leads by tapping or pressing with appendicitis pain.

In addition, further tests can confirm the diagnosis of appendicitis in:

In women always gynecological diseases such as tubal inflammation, an ectopic pregnancy and a regular pregnancy must be excluded.

The earlier appendicitis is treated, the better. at Suspected appendicitis the person concerned initially remains in hospital for observation. He can not eat anything at this time, as this may result in a general anesthetic complications and the intestine is to work as little as possible.

actually exists appendicitis, the inflamed appendix is ​​surgically removed. The sooner the doctor's surgery (technical term: appendectomy) performs, the more likely he can avoid complications.

the so-called open surgery with abdominal incision (laparotomy) is becoming more common on the minimally invasive surgical technique replaced. Minimally invasive means that the doctor's stomach using a special device, the endoscope realizes. This procedure is also laparoscopy called. Here, the surgeon inserts the surgical instruments through three tiny incisions in the abdominal wall one, one therefore speaks of Keyhole surgery.

The engagement is associated with smaller incisions. The results are comparable to open surgery method. Laparoscopy has the advantage that at an appendicitis not only for therapy but for diagnosis can be used: In unclear cases, it helps to confirm the suspicion. Then the doctor can remove the inflamed appendix directly.

Appendectomy via keyhole surgery is appropriate and suitable as a rule only in the early stages of appendicitis. In an advanced inflammation, the physicians decide mostly for open surgery.

Conservative treatment of acute appendicitis in which the appendix is ​​not removed, will now no longer performed.

The appendicitis is a common condition. About half all of sudden serious diseases of the abdominal cavity (so-called. acute abdomen) Are caused by appendicitis. Especially older children and adolescents suffer from them, frequently between 10 and 19 years of age. Small children and elderly people fall ill less frequently.

Of the appendix is the blind-ended, bag-like, thumb-long beginning portion of the ascending colon, which is below the junction of the small intestine. is located at its lower end a worm-like, long 2-20 centimeters Appendix. This is inflamed with appendicitis.

The location of the appendix varies greatly: it can be moved together with the appendix, as is often the case with pregnant women. It can also over, lying in front or behind the cecum or even be firmly anchored to the small intestine. If this is the case, the complaints in other places can appear as the right lower abdomen.

Appendicitis can have various causes. Only the close examination of the resected inflamed appendix permits a statement of what has actually led to the inflammation. However, there is often no specific trigger.

Appendicitis requires prompt treatment required. Find out in the video about appendicitis how the disease arises and what symptoms they associated.

If the appendix (Appendix) blocked that favors appendicitis. To such a closure may, for example, by faecal stones come. In addition, the bend Wurmfortsatz. Less common are parasites such as worms or adhesions of the bowel wall cause of appendicitis.

foreign body can interfere with the emptying of the appendix and so trigger appendicitis. Often this is done by cherry pits, rarely by the nuclei of grapes or melons. As a result, secretions build up under the appendix that irritate the mucous membrane until it ignites.

Appendicitis, where the appendix is ​​not blocked, are less common. They arise, for example, by bacteria. With an infection with enterococci, Proteus or E. coli, the appendix can become inflamed. Inflammatory bowel diseases such as Crohn's disease can cause appendicitis.

Appendicitis takes a positive course in most cases: If the patients get proper treatment in time, they recover normally again completely.

Appendicitis can go through different stages that follow one another in time. The transition to a next successive stage means that the severity of the disease increases.

Complications can occur if the inflammation spreads to the surrounding tissue or to adjacent organs:

To prevent complications from appendicitis, it is important early consult a doctor if symptoms first.

Appendicitis, you can not prevent. On suspicion appendicitis you should act quickly visit and the doctor.

Only appendicitis by foreign bodies such as cherry pits (or rare melon and grape seeds) you can try to prevent by swallowing as few such cores.


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