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Appendicitis

 

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, usually within hours, localizes to the lower, right side 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.

The diagnosis of appendicitis can often be made based on the patient's description of the pain, coupled with the expected findings on examination of the abdomen.  In many cases, a CAT scan of the abdomen will help to confirm appendicitis as the source of the symptoms.

Some cases of appendicitis are associated with atypical symptoms, and some patients with the typical symptoms actually have other disorders. So, if appendicitis is suspected, a surgeon should be consulted promptly. 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 usually 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 48 hours, though more complicated cases will require longer stays.


 

 

 

 




 

 

Dekalb Surgical Associates ©2009

Dekalb Surgical Associates
2665 North Decatur Road
Suite 730
Decatur, Georgia 30033
Phone: (404) 508-4320
Fax: (404) 508-4112

 

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