Modern Pathogenesis, Diagnosis and Management - Acute Appendicitis

Abstract

Appendicitis is defined as inflammation of the vermiform appendix, and it is the most common surgical emergency among children and young adult have abdominal pain. The current treatment for appendicitis is a surgical appendectomy. Non-operative antibiotic therapy is useful in some cases, and growing data suggests that it might be more frequently used. The diagnosis is made based on the patient's history, clinical examination, and laboratory tests, despite the fact that 30-45% of patients appear with uncommon symptoms. The diagnosis is unknown, the most common imaging modalities are ultrasonography and CT scans. Diagnostic laparoscopy can be an effective approach in low-risk patients, particularly young women. A negative appendicectomy is one that was performed for suspected appendicitis but resulted in a normal appendix on histological testing. A negative appendicectomy has a postoperative complication incidence of approximately 10%, highlighting the importance of precise and quick diagnosis.