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[Chronic appendicitis. A case report].
Alvaro José Montiel-Jarquín1, Eduardo Gómez-Conde, Pedro Reyes-Páramo
1Hospital de Especialidades Unidad Médica de Alta Especialidad, Puebla, Puebla México. dralmoja@hotmail.com
Revista Medica Del Instituto Mexicano Del Seguro Social
|February 14, 2009
Summary
Chronic appendicitis, characterized by persistent abdominal pain, differs from acute cases. Surgical removal (appendectomy) can resolve symptoms, confirmed by histopathology.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Chronic appendicitis encompasses persistent pain originating from the appendix, with or without inflammation.
- This condition is distinct from acute appendicitis and includes chronic/recurrent appendicitis and appendiceal colic pain.
Observation:
- A case study of a 41-year-old female with chronic constipation, abdominal pain, nausea, and low-grade fever over a year.
- Initial treatments provided only partial relief, prompting an exploratory laparotomy.
Findings:
- Exploratory laparotomy revealed chronic appendicitis, leading to appendectomy.
- Histopathological examination confirmed chronic appendicitis, with symptoms lasting over 4 weeks and resolving post-surgery.
- Imaging like ultrasound, barium enema, and CT scans can suggest chronic appendicitis.
Implications:
- Histopathological findings and clinical presentation differentiate chronic appendicitis from acute appendicitis.
- Appendectomy is an effective treatment for chronic appendicitis, improving patient outcomes.
- Diagnostic criteria for chronic appendicitis include prolonged symptoms, histopathological confirmation, and symptom resolution after appendectomy.
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