GI & Liver » Lower GI

Acute Appendicitis

Appendicitis is by inflammation of the appendix; mild cases may resolve without treatment, most require removal of the inflamed appendix, either by laparotomy or laparoscopy. The mortality is high after a rupture, mainly due to peritonitis and shock. Classically starts as periumbilical pain before localising to the right iliac fossa, usually associated anorexia and mild fever. Nausea or vomiting may or may not occur. In some cases rebound tenderness may also occur. Diagnosis is based on history and physical examination backed by an elevation of neutrophilic white cells and ultrasonography. Surgery forms the mainstay of treatment with conservative treatment being offered where surgery is not feasible.

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