Patel, MD, Harold L. Hall, MD, and Julia R.
The pathology of acute appendicitis. Although acute appendicitis is frequent, it is subject to common misconceptions.
Furthermore, there is little good evidence to support some of our beliefs. This report reviews the role of the anatomic pathologist in diagnosis when acute appendicitis is suspected clinically and discusses what is known of its pathology.
The conclusions that can be legitimately drawn from the literature are emphasized.
A classification is proposed that incorporates intraluminal inflammation, acute mucosal inflammation, acute mucosal and submucosal inflammation, suppurative phlegmonous appendicitis, gangrenous appendicitis, and periappendicitis, and the significance of each of these diagnoses is discussed.
The etiology and pathogenesis of acute appendicitis is reviewed. Contrary to popular belief, the best evidence indicates that obstruction is unlikely to be the primary cause, at least in the majority of cases. Ancillary techniques in the diagnosis of appendicitis, including laparoscopy and peritoneal aspiration cytology, are discussed.diagnosis of acute appendicitis without inflammatory reaction.
Increase of these mediators in the appendix may cause pain on the right iliac fossa in the presence of acute appendicitis, and are related with inflammatory intestinal diseases and appendicular fibrosis, containing Schwann cells, mastocytes and fibroblasts [24,28].
Pathologic findings and clinicopathologic correlations in consecutive appendectomies performed in a university hospital are reviewed. In 59 cases, appendectomy was incidental to another.
Appendicitis may be suspected if your doctor gently presses on your lower right abdomen and this causes pain. A urine test will also be performed to rule out a urinary tract infection. Appendicitis is first and foremost a clinical diagnosis. Therefore, in patients with a history of periumbilical pain that migrates to the right lower quadrant appendicitis is the most likely diagnosis.
Appendicitis is a medical emergency that almost always requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious.
Abstract. While acute appendicitis is a common and important clinical problem, a variety of other disease processes can affect the appendix. Simple and perforated appendicitis, tip appendicitis, and stump appendicitis share a common clinical presentation including .