Appendicular Abscess Unprocessed appendicitis may in addition result in a localised collection of discharge, named appendicular abscess. Antibiotics have been discovered to be effective in lessening the post operative wound infection plus the consequence in patients with complications like septicaemia plus appendicular abscess. For the treatment of appendicular abscess the initial treatment is use of antibiotics followed by appendectomy as an elective procedure. If left alone, ovarian, tubal, cellular c ellular plus appendicular abscesses tend to o pen in the line of smallest resistance plus secure drainage with, not against, gravity. Pubic abscesses will open plus drain through the womb, vagina, or rectum if allowed. Especially is this true when it is a positive fact that all typhlitic plus appendicular abscesses will open into the guts if permitted to do so. The diagnosis of cecal diverticulitis is every so often contentious since the signs plus symptoms simulate an acute appendicitis or an appendicular abscess. Moreover, during surgery, from time to time it appears like carcinoma of the cecum. Being able to see the mesentery well will allow for visualization of stranding plus periappendicular abscess even without oral contrast. Unenhanced CT imaging for appendicitis is nicer in fat patients with good mesenteric fat than is regularly seen with thin lean body fat people. Current practices have established the efficiency of drug treatment in treating certain infectious stomach conditions counting: appendicular mass with or o r without periappendicular abscess plus acute diverticulitis. This success has prompted the researchers to consider the exclusive use of drug treatment in the treatment of no n complex appendicitis. Thirty-two (69.6%) patients groomed with features of acute appendicitis out of 12 had ruptured appendicitis plus 8 had appendicular abscess. Eight (17.4%) had duodenal obstruction, 5 (10.8%) had haemoperitonueum as of stomach injury plus 1 (6.7%) had an ectopic foetus in bladder.
Appendicitis Last reviewed: July 22, 2011.
Appendicitis is swelling (inflammation) of the appendix. The appendix is a small pouch attached to the beginning of your large intestine.
Causes, incidence, and risk factors Appendicitis is one of the most common causes of emergency abdominal surgery in the United States. It usua lly occurs when the appendix becomes blocked by feces, a foreign object, or rarely, a tumor .
Symptoms The symptoms of appendicitis can vary. It can be hard to diagnose appendicitis in young children, the elderly, and women of childbearing age. The first symptom is often pain around your belly button. (See: Abdominal pain) pain) The pain may be minor at first, but it becomes more sharp and severe. Your appetite will be reduced, and you may have nausea, vomiting, and a low fever. As the swelling in the appendix increases, the pain tends to move into your right lower abdom en. It focuses right above the appendix at a place called McBurney's point. point. This most often occurs 12 to 24 hours after the illness starts. If your appendix breaks open (ruptures), you may have less pain for a short time and you may feel better. However, once the lining of your abdominal cavity becomes swollen and infected (a condition called peritonitis peritonitis)), the pain gets worse and you become sicker. Your pain may be worse when you walk or cough. You may prefer to lie still because sudden movement causes pain. Later symptoms include:
Chills
Constipation
Diarrhea
Fever
Nausea
Shaking
Vomiting
Signs and tests If you have appendicitis, your pain will increase when the doctor gently presses on your lower right belly area. If you have peritonitis, touching the belly area may cause a spasm of the muscles. A rectal exam may find tenderness on the right side of your rectum . Doctors can usually diagnose appendicitis by:
Your description of the symptoms
The physical exam
Lab tests
In some cases, other tests may be needed, including:
Abdominal CT scan Abdominal ultrasound
Treatment If you do not have complications, a surgeon will usually remove your appendix soon after your doctor thinks you might have the condition. For information on this type of surgery, see: Appendectomy. Because the tests used to diagnose appendicitis are not perfect, sometimes the operation will show that your appendix is normal. In that case, the surgeon will remove your appendix and explore the rest of your abdomen for other causes of your pain. If a CT scan shows that you have an abscess from a ruptured appendix, you may be treated for infection. You will have your appendix removed after the infection and swelling have gone away.
Expectations (prognosis) If your appendix is removed before it ruptures, you will likely get well very soon after surgery. If your appendix ruptures before surgery, you will probably recover more slowly, and are more likely to develop an abscess or other complications.
Complications
Abnormal connections between abdominal organs or between these organs and the skin surface (fistula)
Abscess
Blockage of the intestine
Infection inside the abdomen (peritonitis)
Infection of the surgical wound
Calling your health care provider Call your health care provider if you have abdominal pain in the lower-right portion of your belly, or any other symptoms of appendicitis. Also call your doctor if:
Your pain is severe, sudden, or sharp
You have a fever along with your pain
You are vomiting blood or have bloody diarrhea
You have a hard abdomen that is tender to touch
You are unable to pass stool, especially if you are also vomiting
You have chest, neck, or shoulder pain
You are dizzy or light-headed
You have nausea and a lack of appetite with your pain
You are losing weight that you did not mean to lose
You have yellowing of your eyes or skin
You have bloating for more than 2 days
You have diarrhea for more than 5 days, or your infant or child has had diarrhea for 2 days or vomiting for 12 hours (call right away if a baby younger than 3 months has diarrhea or vomiting)
You have had abdominal pain for more than 1 week
You have burning with urination or you are urinating more often than usual
You have pain and may be pregnant
Your pain gets worse when you take antacids or eat something
Appendicitis in Teens Early adolescence is prime time for appendicitis, a potentially serious inflammation of the appendix. The small appendage, located on the right side of the lower abdomen, sticks out from the colon like a protruding tongue. Should it become inflamed and need to be surgically removed—the sole treatment for appendicitis —the appendix is hardly missed, for it has no known function.
Symptoms that Suggest Appendicitis may Include:
Persistent abdominal pain that migrates from the midsection to the right lower abdomen
Nausea and vomiting
Constipation
Gas pain
Diarrhea
Low fever, beginning after other symptoms
Tenderness in the right lower abdomen
Abdominal swelling
Elevated white blood cell count
Appetite loss “Anybody who’s had appendicitis will tell you that pain is unlike any other kind of pain,” says Dr. Alan Lake, M.D. “In adolescents, it begins as a vague stomachache near the navel. Then p atients feel it in the lower part of the right side of the abdomen.” He describes the sensation as a peculiar combination of pressure and fullness. The distinctive symptom should be heeded very seriously; should the appendix rupture, it may infect the double layer peritoneal membrane that lines the abdominal cavity. The medical term for this is peritonitis. Notify your pediatrician at once or contact a local hospital emergency department. While you wait to see the doctor, instruct your teen to l ie down and be still. Any kind of movement, including coughing or taking a deep breath, can exacerbate the pain. Don’t offer water, food, laxatives, asp irin or a heating pad.
How Appendicitis Is Diagnosed Physical examination and thorough medical history, plus one or more of the following procedures:
White blood cell count
Urinalysis, to rule out a urinary-tract infection
Ultrasound
Lower GI series ( barium enema )
CT scan
Exploratory laparoscopic surgery
How Appendicitis Is Treated
Surgery: Appendicitis can be difficult to diagnose definitely. Therefore, your physician may not schedule the appendectomy until the symptoms have progressed somewhat. Conventional “open” surgery usually requires a two day hospital stay, barring com plications, and leaves youngsters with a sm all scar, but completely cured.
Helping Teens To Help Themselves Youngsters should be encouraged to follow these basic guidelines for a healthy digestive tract:
Eat at regular hours.
Drink lots of water (at least eight cups of water or other liquid every day).
Keep physically active.
Chew food slowly and thoroughly before s wallowing.
Use aspirin and nonsteroidal anti-inflammatory medications sparingly; these drugs can irritate the fragile gastrointestinal lining.
Don’t smoke; cigarettes, too, contribute to ulcers.
Listen to your body! Don’t suppress the urge to move your bowels.
Try not to strain during bowel movements.
And most important, even with a busy schedule regular meals should be taken daily. Attempts should be made to have at least some of these meals sitting around a table preferably allowing time to talk, chew and digest. This will not only help your teens’ gut, but help the whole family stay connected
