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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...

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...

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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Related Experiment Videos

Retained faecolith: an avoidable complication of laparoscopic appendicectomy.

Olivia Knight¹, Ranjeet Brar, Jeremy Clark

¹Department of Digestive Diseases, Brighton and Sussex University Hospitals, Brighton, UK.

BMJ Case Reports

|September 18, 2013

Summary

A retained faecolith caused a pelvic abscess after laparoscopic appendicectomy. This case highlights common surgical pitfalls and offers technical tips to prevent complications during appendicitis treatment.

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Area of Science:

Gastroenterology
Surgical Innovation
Abdominal Surgery

Background:

Laparoscopic appendicectomy is a common procedure for appendicitis.
Gangrenous appendicitis, even when non-perforated, carries risks.
Retained foreign bodies can lead to post-operative complications.

Observation:

A 26-year-old female presented with a pelvic abscess 9 days after laparoscopic appendicectomy.
The patient had undergone surgery for non-perforated, gangrenous appendicitis.
Imaging revealed a retained faecolith as the cause of the abscess.

Findings:

A retained faecolith is a potential complication of laparoscopic appendicectomy.
Pelvic abscess formation can occur due to retained faecoliths.
This complication underscores the importance of meticulous surgical technique.

Implications:

Surgeons must be vigilant for retained faecoliths during laparoscopic appendicectomy.
Technical refinements may be necessary to minimize the risk of retained faecoliths.
Early recognition and management of pelvic abscesses post-appendicectomy are crucial.