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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-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...

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...

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: May 8, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

E-NOTES transumbilical laparoscopic appendectomy.

F Graur¹, R Elisei, N Al-Hajjar

¹University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Chirurgia (Bucharest, Romania : 1990)

|August 21, 2013

Summary

This summary is machine-generated.

This study details a laparoscopic transumbilical single-incision appendectomy for chronic appendicitis. The minimally invasive procedure resulted in symptom resolution and a hidden scar, showcasing a favorable outcome.

Related Experiment Videos

Last Updated: May 8, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery
Surgical Case Report

Background:

Chronic appendicitis presents with insidious abdominal pain, often localized to the right iliac fossa.
Diagnosis typically involves clinical examination and imaging like abdominal ultrasound.
Surgical intervention is recommended for symptomatic chronic appendicitis.

Observation:

A 17-year-old patient presented with a 4-month history of abdominal pain, nausea, and loss of appetite.
Clinical and ultrasound findings led to a diagnosis of chronic appendicitis.
Laparoscopic transumbilical single-incision appendectomy was performed under general anesthesia.

Findings:

Three 5 mm trocars were inserted via a 10 mm umbilical incision.
A swollen appendix was identified and surgically resected using LigaSure forceps and Roeder knots.
The intervention lasted 60 minutes with a favorable postoperative course.

Implications:

Single-incision laparoscopic appendectomy offers a minimally invasive approach for chronic appendicitis.
This technique may lead to improved cosmetic outcomes with scars concealed within the umbilicus.
Successful symptom resolution suggests the efficacy of this approach in managing chronic appendicitis.