Pathophysiology of Acute Appendicitis Obstruction of appendix
Intraluminal pressure increases
Abdominal discomfort
Venous drainage
Thrombosis and edema of appendix
Bacterial invasion of the bowel wall hyperemia Fever
Inflammation of vermiform appendix Exudates formation
Gangrene
Acute abdominal pain that comes in wave Periumbilical pain (RLQ) @ Mcburneys point
Vomiting & loss of appetite
Muscle guarding Sudden sharp pain in RLQ Bowel sound diminished & abdomen distended
Pain subsides
Perforation
Bacterial invasion of peritoneal cavity
Lying still &drawing the legs up to relieve pain
Walling off of omentum
Peritonitis
Sepsis Death
Old books usually refer vermiform appendix as the body organ with no use. The common person makes a joke out of it as the organ that usually gives or share money to the doctor. But today we are already being educated that the appendix have also a role in maintaining the homeostasis of the body as it