Appendicitis
Description
Inflammation of the appendix. The appendix is a small pouch extending from the cecum, the first part of the large intestine. In appendicitis the opening of the pouch becomes blocked with fecal material (appendicolith) causing swelling of the appendix and allowing bacteria to grow in this area.The appendix has no function and can rupture if the appendicitis is untreated.
Symptoms
Nausea, vomiting, abdominal pain. The pain typically starts in the center of the abdomen then moves to the right lower side. Less frequently the pain is in other areas of the abdomen and even on the left side.
Tests
A history and physical exam will be performed. A blood test and an imaging test (CT or Ultrasound) may be necessary in ambiguous cases.
- CBC
- Chem 12
- Lipase
- CT Scan
- Ultrasound
Treatment
The treatment consists of antibiotics and surgical removal of the appendix.
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