Journal of Cardiovascular Disease Research
Acute appendicitis Review: Clinical Assessment, Pathophysiology, Complications and Management
Imtiyaz Hussain, RiyazAhmad Bhat, Dushyant Kumar Garg, Hanumanthrao C Patil, Rajesh Kumari Patil
JCDR. 2023: 831-838
Abstract
One of the most typical causes of sudden abdominal pain in adults and kids is appendicitis, which has a lifetime risk of 8.6% in men and 6.7% in women. During pregnancy, it is the most frequent nonobstetric surgical emergency. The diagnosis of acute appendicitis is aided by information obtained from the history, physical examination, and laboratory tests. The greatest symptoms to rule out acute appendicitis in adults include right lower quadrant pain, abdominal stiffness, and periumbilical pain radiating to the right lower quadrant. The most consistent indicators of acute appendicitis in children include reduced or absent bowel movements, a positive psoas sign, a positive obturator sign, and a positive Rovsing`s sign.Acute appendicitis is typically treated with an appendectomy performed either by open laparotomy or laparoscopy. In some individuals, however, intravenous antibiotics may be the primary line of treatment. Opioid, nonsteroidal anti-inflammatory, and paracetamol pain management should be prioritised since they prevent needless or delayed action. In 17%–32% of individuals with acute appendicitis, perforation might result in sepsis. Longer symptom duration prior to surgical intervention increases risk. To lower morbidity and mortality from perforation in patients with moderate- to high-risk conditions, prompt surgical consultation is necessary.
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