Appendicitis Destructive

Destructive appendicitis (a. destructiva) is an acute inflammation of the appendix (appendix), characterized by necrosis of its wall and perforation (perforation) with the development of diffuse purulent peritonitis.

With destructive appendicitis, inflammation covers all layers of the appendix wall, leading to their necrosis. This is accompanied by perforation of the wall of the appendix and the release of its contents into the abdominal cavity. Diffuse purulent peritonitis develops.

The clinical picture of destructive appendicitis is characterized by a sudden onset with severe abdominal pain, nausea, and vomiting. Body temperature rises to 38-39°C. The abdomen is sharply painful on palpation. Symptoms of peritoneal irritation are pronounced.

Diagnosis is based on the clinical picture, data from laboratory and instrumental studies. The only treatment is surgical - urgent removal of the appendix and sanitation of the abdominal cavity. Antibiotics are prescribed to prevent sepsis.

Delay in seeking medical help for destructive appendicitis is dangerous due to the development of peritonitis, sepsis and death. Therefore, if this complication is suspected, urgent hospitalization is necessary.