How is acute appendicitis perforation?

Update Date: 2025-10-24 Source: Network

summary

Appendicitis perforation refers to appendicitis due to a variety of factors and the formation of inflammatory changes, when it is serious, the formation of a hole. Most of the perforation will form inflammation, deformity, sinus, fistula and other pathological changes. After appendiceal perforation, a large number of bacteria will be absorbed by the peritoneum and mesentery into the blood circulation, causing sepsis and life-threatening. How is acute appendicitis perforation? Let's talk about it

How is acute appendicitis perforation?

Abdominal pain: the typical symptom of this disease is metastatic right lower abdominal pain. Gastrointestinal symptoms: nausea, vomiting, diarrhea, constipation, etc. Systemic symptoms: obvious and severe systemic reactions, pale complexion, rapid pulse, shortness of breath, and possible increase or decrease of body temperature.

There is a fixed and obvious tenderness in the right lower abdomen, and the tenderness is more common in the Mais point. Right lower abdomen mass: when appendicitis mass or abscess around the appendix, the mass can be palpated in the right lower abdomen. Peritoneal irritation sign: muscle tension, tenderness, rebound pain, bowel sounds weakened or disappeared.

Psoas test, obturator test, colonic inflation test and digital rectal examination can be used as auxiliary diagnosis. There is a course of acute appendicitis. The right lower abdomen has limited peritonitis (tenderness, muscle tension, rebound pain, etc.). The white blood cell count was increased.

matters needing attention

The non-surgical treatment is suitable for 48-72 hours after the onset of the disease, the symptoms are relieved in the acute stage or pelvic abscess has been formed; After perforation, the abscess just ruptured and was in a state of shock; After perforation, the abscess ruptured for a long time and the condition was stable; Diffuse peritonitis is formed after perforation, and the poisoning symptoms are especially serious, or the duration is long but stable.