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Appendicitis is an inflammation of the vermiform appendix, a finger-like appendage to the cecum, the first part of the large intestine. The inflammation results from a bacterial infection that causes the appendix to swell and fill with pus. An early symptom of appendicitis is intermittent pain in the navel region. This becomes more severe and, within hours, localizes to the lower, right-hand corner of the abdomen. The abdominal muscles tighten, and the person loses his or her appetite and becomes nauseated. A slight fever is usual, as is constipation. (The inflammation, however, may on occasion trigger diarrhea.) The lower abdomen is tender; touching increases the pain. Appendicitis is a common condition (1 to 2 cases per 1000 people annually). Males between ages 10 and 30 are most commonly affected. Many cases of appendicitis have atypical symptoms, and many patients with the typical symptoms actually have other disorders. So, if appendicitis is suspected, a surgeon should be consulted immediately. If the surgeon suspects appendicitis, an operation will be recommended. At Dekalb Surgical Associates, most cases of suspected appendicitis are managed with laparoscopy. This procedure involves placing a scope with an attached television camera into the navel. The appendix can be easily visualized, and if inflamed, it can usually be removed without the traditional three to five inch long incision. For the typical patient, the hospital stay is less than twenty four hours, though more complicated cases will require longer stays. |
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