Signs and features of chronic appendicitis

Until now, there is controversy about the diagnosis of "chronic appendicitis." Nevertheless, while he still meets. The following forms of chronic appendicitis are distinguished: primary-chronic, residual, recurrent.

Chronic residual pleural appendicitis

Residual form is considered as one of the variants of the outcome of acute appendicitis. It is manifested by constant pulling pains or unpleasant sensations in the right half of the abdomen below. Signs of chronic appendicitis are accompanied by constipation or diarrhea. Pain after exercise or overeating increases.

Primary chronic appendicitis

This form of chronic appendicitis begins with gradual aching pains, a feeling of heaviness in the lower abdomen on the right, dyspeptic disorders. In the anamnesis there is no earlier previous acute attack of appendicitis. At a deep palpation it is possible to note only insignificant morbidity. Body temperature remains within normal limits, with laboratory examination, deviations are not detected.

Recurrent appendicitis

For this form of chronic appendicitis is characterized by alternation of bouts of pain in the lower abdomen on the right with periods of apparent improvement in well-being. During the exacerbation, fever, acceleration of ESR, increase in leukocytosis are noted.

Chronic appendicitis: symptoms, treatment

The diagnosis of chronic appendicitis residual or relapsing is exhibited without much difficulty, as in the anamnesis the attacks of an acute disease are clearly traced. But the primary chronic form requires the widest range of clinical, laboratory and instrumental studies. This is done to exclude a similar pathology. Symptoms of chronic appendicitis are similar to manifestations of stomach ulcers or duodenal ulcer, colitis, chronic kidney disease, urolithiasis and cholelithiasis, and in women - chronic inflammation of the uterine appendages. The complex of studies includes colonoscopy, fibrogastroscopy, ultrasound of the liver, kidneys. When carrying out irrigoscopy in the absence of another pathology of the large intestine, a typical symptom of chronic appendicitis is observed: the incomplete process of the appendix, which is due to the clogging of its lumen, the presence of kinks or fecal stones. Indirect attributes include spasm or intestinal atony in the area of the small intestine transition into the thick. When carrying out an ultrasound examination, the lumen of the appendix is not determined, the wall is thickened, the process does not change its position when the patient's position changes.

Treatment of chronic appendicitis

All patients suffering from chronic appendicitis are shown to have an operative intervention - appendectomy. In most cases, recovery after such a procedure is quite fast and easy. The situation can worsen only when the disease has affected other organs.