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Appendicitis

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

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Updated: May 20, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Splenic abscess rupture postappendicectomy.

Roshani Patel¹, Aakash Pai, Ihsan Al-Shoek

¹Department of General Surgery, Heatherwood and Wexham Park Hospitals, Slough, UK. roshanipatel@doctors.net.uk

BMJ Case Reports

|July 18, 2012

Summary

This summary is machine-generated.

A rare splenic abscess rupture occurred after appendectomy due to appendix perforation. Prompt diagnosis and surgical intervention, including splenectomy, were life-saving for this patient with generalized peritonitis.

Related Experiment Videos

Last Updated: May 20, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Area of Science:

Gastroenterology
Surgical Pathology
Abdominal Surgery

Background:

Splenic abscesses are rare, occurring in 0.05%-0.7% of cases.
Splenic rupture secondary to abscess is exceptionally uncommon.
This case involves a splenic abscess resulting from contiguous spread following appendix perforation.

Observation:

A patient developed a splenic abscess postappendicectomy.
The splenic abscess subsequently ruptured.
The patient underwent emergency splenectomy and intensive care.

Findings:

Contiguous spread from perforated appendix can lead to splenic abscess.
Splenic abscess rupture is a rare but critical postoperative complication.
Early diagnosis and management of deteriorating surgical patients are crucial.

Implications:

This case underscores the importance of recognizing rare complications of generalized peritonitis.
Rapid surgical intervention is vital for patient survival in such critical conditions.
Highlights the need for astute clinical assessment and timely operative management in surgical emergencies.