If appendicitis isn't treated, the appendix can burst and cause potentially life-threatening infections.
Call 999 for an ambulance if you have abdominal (tummy) pain that suddenly gets much worse and spreads across your abdomen. These are signs your appendix may have burst.
If your appendix bursts, it releases bacteria into other parts of the body. This can cause a condition called Peritonitis if the infection spreads to the peritoneum, the thin layer of tissue that lines the inside of the abdomen.
Symptoms of peritonitis can include:
If peritonitis isn't treated immediately, it can cause long-term problems and may even be fatal. Treatment for peritonitis usually involves antibiotics and the surgical removal of the appendix (appendectomy).
This is a painful collection of pus that occurs as a result of the body's attempt to fight the infection.
It can also occur as a complication of surgery to remove the appendix in about 1 in 500 cases.
Abscesses can sometimes be treated using antibiotics, but in the vast majority of cases the pus needs to be drained from the abscess.
This can be carried out under ultrasound or computerised tomography (CT) guidance using local anaesthetic and a needle inserted through the skin, followed by theplacement of a drain.
If an abscess is found during surgery, the area is carefully washed out and a course of antibiotics is given.
The appendix is a rudimentary 5-10 cm elongation at the end of the small intestine and at the beginning of the colon, which bears no known function.
The symptoms of appendicitis are not always uniform among patients. However, abdominal pain is always present. Usually this type of pain begins in the solar plexus, accompanied by nausea, and after a few hours, the pain becomes concentrated in the lower right quadrant of the abdomen, right next to the thigh. Symptoms include: 1. Nausea 2. Loss of apetite 3. Diarrhea 4. High fever 5. Flushed face
It is important that all patients suffering from any kind of severe abdominal pain which lasts for several hours and becomes worse over time, should refer themselves to a medical professional. When there are typical symptoms of appendicitis, the condition is easy to diagnose (abdominal pain, nausea, fever etc). These common symptoms are only present in half of the cases. There are cases of atypical appendicitis, which exhibit other symptoms, such as constipation, atypical pain, diarrhea, etc. In order to diagnose this condition, several examinations are conducted: 1. A blood test (usually shows elevated white blood cells) 2. A pregnancy test (in order to rule out a potential pregnancy) 3. A urine test (in order to check for infection) 4. Abdominal echo (in order to check for fluid in pouch of Douglas) 5. Scanner of the appendix (which will show the shape and size of the appendix)
If the diagnosis of appendicitis is confirmed, treatment is always surgical. This procedure is called an appendectomy. This procedure is conducted under general anesthesia, and it can be performed via a probe (laparoscopy), or via open surgery. The procedure involves removing the appendix. A laparoscopy is performed after blowing the abdomen up by blowing gas into it. This renders certain channels available, so that the physician may insert the laparoscope. Following this, the physician performs the procedure via a monitor. A laparoscopy is favorable, because it does not require open surgery, lowers risks and allows the patient to recover more efficiently. If the patient presents themselves too late at the hospitals, the bacteria from the infection in the appendix may spread to other organs in the abdomen (the appendix may burst), then treatment is rendered more complicated, and other medication needs to be used in conjunction to surgery, such as antibiotics to fight infection, analgesics to treat pain, antipyretics to treat the fever and intravenous injections etc.
Neglecting to pay the appropriate attention to a case of appendicitis can be life-threatening. The appendix may burst and cause peritonitis. Peritonitis is a very severe condition, which occurs as a consequence of the spread of bacteria from the burst of the infected appendix. The bacteria spread via the blood in the entire body. This causes inflammation of the peritoneum (the lining which covers all of the organs in the abdomen). Peritonitis has the following symptoms: severe pain spread all over the abdomen, the patient feels fatigue, very high fever, tachycardia (rapid heart rate), difficulties breathing, swelling and hardening of the abdomen, the patient is nearly in shock. This condition requires immediate surgical intervention. An appendectomy is performed, as well as a cleanse of the belly. Following this, that patient has to remain in hospital for a prolonged period in order to receive the proper medication. At times, following the surgical procedure, a small tube is left protruding from the stomach in order to allow for drainage of the infected fluids. This is then later removed.