Medical Archive

Anatomy and Embryology

Appendicitis

https://hsnowhome.wpcomstaging.com/2020/03/21/c324-acute-appendicitis-and-peritonitis/

Treatment of Appendicitis

Acute uncomplicated appendicitis

??? ??? ? ??? ?? ? ?? ? ???

Perforated appendicitis

• Antibiotics & bowel rest + either 1
• PCD (contained abscess)
• I&D with appendectomy ? ??? (? ??? ? ??)

Laparoscopic versus open appendectomy

• ???
  1. ??? + ?? ?? ? ?? ? ?? ?? ?? (CT/sono)
  2. ?? ?? – transrectal, vaginal, perQ if >4cm or ??
  3. ????, WBC nl ?? ?? ? 6-8? ? ?? ??? (???? ?? ???? ?? ??? ?? ??)

Delayed presentation of appendicitis

The normal-appearing appendix at operation

Terminal 60cm of ileum should be examined for a Meckel’s diverticulum or any stigma of Crohn’s disease.

• ?? appendix?? ???? ?? – Recurrent RLQ pain ???? ?? ?
  • Ruptured ovarian cyst
  • Mesenteric adenitis
  • Crohn’s disease
    • Base of appendix? cecum involvement ?? ? ??: fistula ??? ??.

Nonoperative treatment of uncomplicated appendicitis

“Chronic” Appendicitis as a Cause of Abdominal Pain

Incidental Appendectomy

Appendicitis in Special Populations

Neoplasms of the Appendix