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An unusual complication of an appendectomy is "stump appendicitis": inflammation occurs in the remnant appendiceal stump left after a prior incomplete appendectomy. [100] Stump appendicitis can occur months to years after initial appendectomy and can be identified with imaging modalities such as ultrasound. [101]
appendicitis, gastrointestinal hemorrhage The psoas sign , also known as Cope's sign (or Cope's psoas test [ 1 ] ) or Obraztsova's sign, [ 2 ] is a medical sign that indicates irritation to the iliopsoas group of hip flexors in the abdomen , and consequently indicates that the inflamed appendix is retrocaecal in orientation (as the iliopsoas ...
Appendicitis develops most commonly in the second trimester. [2] If appendicitis develops in a pregnant woman, an appendectomy is usually performed and should not harm the fetus. [15] The risk of premature delivery is about 10%. [16] The risk of fetal death in the perioperative period after an appendectomy for early acute appendicitis is 3 to 5%.
A new analysis found that outpatient management of appendicitis with antibiotics is safe for selected patients, which may allow people to avoid hospitalization
Pain often begins in the center of the abdomen, corresponding to the appendix's development as part of the embryonic midgut. This pain is typically a dull, poorly localized, visceral pain. [24] As the inflammation progresses, the pain begins to localize more clearly to the right lower quadrant, as the peritoneum becomes inflamed.
Other, older terms for the process include appendicitis epiploica and appendagitis, but these terms are used less now in order to avoid confusion with acute appendicitis. Epiploic appendices are small, fat-filled sacs or finger-like projections along the surface of the upper and lower colon and rectum .
Guarding is a characteristic finding in the physical examination for an abruptly painful abdomen (an acute abdomen) with inflammation of the inner abdominal (peritoneal) surface due, for example, to appendicitis or diverticulitis. The tensed muscles of the abdominal wall automatically go into spasm to keep the tender underlying tissues from ...
The principles of the obturator sign in the diagnosis of appendicitis are similar to that of the psoas sign. The appendix is commonly located in the retrocecal or pelvic region. The obturator sign indicates the presence of an inflamed pelvic appendix. Evidence shows that the obturator test does not adequately diagnose appendicitis, but can be ...