Perforation occurs in 70-80% within 2 days of the outbreak...The pain is worse when you stretch your right leg
Mar 03, 2025
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Although it is difficult to prevent, we found out through Q&A with Professor Yoo Seung-beom of colorectal anastomosis surgery at Seoul National University Hospital, from major symptoms to treatment methods.
- What is a mustache?
▶The insect is a worm-shaped organ attached to the end of the cecum where the large intestine begins, and it is about 7-10 cm long. Diseases with inflammation in this area are called appendicitis or appendicitis, and most occur acutely. It is sometimes called appendicitis, which is a misrepresentation.
appendicitis is caused by obstruction of the appendix lumen, which causes toxic substances to be secreted from the mucus that have not been discharged, irritating the mucous membrane and causing inflammation and ulcers. If the inflammation gets worse, perforation can occur. Perforation occurs in 70-80% within two days of appendicitis, and if not treated quickly, an abscess (pus bag) may develop or inflammation may spread to the peritoneum surrounding the entire abdominal organ.
-Causes of myelitis?
Adults and children have different causes of appendix lumen obstruction. In children, lymphoid tissue around the appendix may proliferate excessively when they have a cold or enteritis, and as a result, the lumen of the appendix is blocked from the outside, causing appendicitis. On the other hand, in adults over the age of 20, foreign substances (hard feces, tumors, etc.) in the large intestine are mostly caused by being trapped in the lumen of the appendix.
- What are the main symptoms?
▶The main symptom of myelitis is abdominal pain in 95% of patients. In the early stages of development, pain appears vaguely around the upper abdomen or navel, but as time passes, it moves to the lower right (the right lower abdomen) and becomes more severe. Depending on the location of the appendix, pain may occur on the right side or pubis. In addition, loss of appetite, nausea, vomiting, fever, and diarrhea can be accompanied.
- What are the diagnosis and inspection methods?
▶Immelitis is likely to be confused with diseases with similar symptoms such as ovulation pain, pelvic inflammation, and acute cholecystitis. Therefore, accurate diagnosis is needed to discriminate diseases.
In the diagnosis of appendicitis, abdominal palpation is very important to check pain by pressing the abdomen directly with the surgeon's hand. Abdominal pain caused by appendicitis is characterized by repulsive pain that spreads more severely when pressing the right lower abdomen and then releasing the hand.
In addition, blood tests, abdominal ultrasound, and abdominal CT can provide additional help. Blood tests determine whether white blood cells are increased, and abdominal CT can confirm the presence or absence of perforation or abscess.
- What about surgical treatment?
▶The typical treatment for appendicitis is appendectomy. Instead of laparoscopic surgery, laparoscopic surgery is mainly performed by drilling two to three small holes. It is preferred for patients because of its small wound and rapid recovery. After surgery, you have to fast for several days.
Exceptionally, if an abscess occurs in the abdominal cavity, a large operation may be required to remove the small or large intestine. Therefore, first, pus is discharged by inserting a drainage tube, and then antibiotics are used to reduce inflammation, and appendectomy is performed about six weeks later.
After surgery, the patient can be discharged within two to three days as soon as he recovers, regardless of gas emissions. Even if there was a local abscess, it can be discharged within 7 days if only pus is discharged well.
- Antibiotic treatment?
▶ Recently, there have been attempts to treat appendicitis without surgery using fluids and antibiotics. Infusion prevents dehydration, and antibiotics play a role in reducing inflammation. However, this method has a long treatment period, and there is a risk of developing antibiotic-resistant bacteria or recurrence of inflammation.
In addition, there is a risk of developing chronic appendicitis with chronic pain, which can be difficult to treat surgically due to fibrotic adhesion in which the appendage tissue hardens. Therefore, it can be seen that appendicitis is still the preferred treatment for appendicitis.
Professor Seung-beom Yoo said, `Immersitis can occur at all ages and is a difficult disease to prevent. However, with the development of medical technology, fast and safe treatment has become possible. Abdominal pain does not resolve over time, and if it worsens as it gradually moves to the right lower abdomen, appendicitis may be suspected. In this case, if you quickly visit a surgeon for diagnosis and appropriate treatment, you can cure it without complications," he said.
※How to discriminate symptoms of myelitis
1. Abdominal pain lasts for more than several hours, and right lower abdominal pain becomes more vivid
2. a level of pain that makes it difficult to straighten one's back
3. The pain gets worse when you stretch your right leg
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This article was translated by Naver AI translator.
