Dolynova Symptom

Dolinov's symptom is the appearance of pain in the right iliac region during sudden straining or retraction of the abdomen. This is one of the signs of chronic appendicitis.

In chronic appendicitis, inflammation of the appendix is ​​sluggish and does not produce pronounced symptoms. However, with certain movements and body positions, pain may occur in the right iliac fossa.

Dolinov's symptom is that pain appears with sudden straining or active retraction of the abdomen. This is due to stretching and displacement of the inflamed appendix.

Dolinov's symptom helps to suspect chronic appendicitis in the early stages and promptly prescribe the necessary treatment. Usually, ultrasound is prescribed to confirm the diagnosis, and, if necessary, surgical treatment.

**Dolinova's symptom:**

The appearance of pain in the right lower abdomen, usually occurring with sudden movement, bending or coughing, is one of the most characteristic signs of acute or chronic unilateral inflammation of the appendix.

**Clinical manifestations:**

1. The acute phase of the inflammatory process is manifested by a symptom, which results in deformation around the appendix and stretching of the vessels and intestines. Pain appears, which is localized mainly in the right lower quadrant of the abdomen or epigastric region (McBurney's point), radiating to the area located on the right above the pubis, the outer hip joint and the xiphoid process of the sternum. 2. Inflammation gradually covers the intestinal wall, so irritation of the peritoneum contributes to the appearance of abdominal spasms. This condition leads to the appearance of proptosis (“hanging anterior abdominal wall”), which subsequently disappears after the body’s condition normalizes. 3. If the inflammatory process is not controlled, then reactive circulatory disorders may occur in neighboring abdominal organs, such as ileophlebitis or omental abscess.