Ruptured Appendix with Sealed Perforation. скачать в хорошем качестве

Ruptured Appendix with Sealed Perforation.

This video shows Ruptured Appendix with Sealed Perforation. If Appendicitis is not treated, it can rupture. As a result, bacteria are released into the abdomen and cause a serious infection. It can make the patient very sick and be hard to treat. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity. A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). Without surgery or antibiotics (as might occur in a person in a remote location without access to modern medical care), the prognosis may not be good. For a ruptured appendix, the prognosis is more serious. Decades ago, a rupture was often fatal. With laparoscopic surgery, a patient is often able to resume normal activities in one to three weeks. Open surgery may require about two to four weeks for recovery. With a ruptured appendix, it may take up to six weeks or more. Nowadays doctors have turned to surgery to treat appendicitis, even though an inflamed appendix sometimes gets better on its own. A new report suggests that trying intravenous antibiotics first works as well as surgery for some people. The appendix is a small, thin, wormlike sac. It’s located where small and large intestines connect in the lower abdomen on the right side. It is generally thought that it doesn’t have any important function so it can be removed without causing harmful effects. If the opening to the appendix gets blocked by some material from the intestine, it becomes irritated, swollen, and infected. Sometimes an infection of the appendix can cause a hole that allows the infection to spread to the rest of the abdomen. This is called "perforated" or "ruptured" appendicitis. An ultrasound is a painless procedure that uses sound waves to provide images to identify organs within the body. Ultrasound can identify an enlarged appendix or an abscess. Nevertheless, during appendicitis, an enlarged inflamed appendix or abscess can be seen in only 50% of patients. But in expert hands with better equipment, the tear or ruptured point may be shown, as you can see in this case. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity. A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). Tests and procedures used to diagnose appendicitis include: Physical exam to assess your pain. Your doctor may apply gentle pressure on the painful area. ... Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection. Urine test. Imaging tests. Predominant presenting symptoms were right iliac fossa pain (95%), nausea (80%), and vomiting (73%), with 63% of patients presenting 2 days after onset of symptoms. Fever was present in 15% and only 31% of patients gave a typical history of acute appendicitis of vague peri-umbilical pain. Not all people will have the same symptoms, but it's crucial that you see a doctor as quickly as possible. According to Johns Hopkins Medicine, the appendix can rupture as quickly as 48 to 72 hours after the onset of symptoms. Although ultrasound is less accurate than a contrast-enhanced CT, the findings can be appreciated in experienced hands. Diagnosis of perforated appendix relies mainly on demonstration of right iliac fossa abscess or phlegmon in association with signs of appendiceal inflammation and appendicolith. Appendicitis can happen at any age, but it is seen mostly in children and teenagers between the ages of 10 and 20 years. It’s more common in males. A study in the Journal of the American College of Surgeons found the risk of rupture was less than 2 percent when appendicitis was treated within 36 hours of the start of symptoms. It increased to 5 percent when it was treated 36 hours or more after the start of symptoms. The exact cause of appendicitis isn’t known for sure, it’s probably due to an infection that triggers inflammation inside the appendix. When the opening of the appendix gets blocked, bacteria get trapped inside and reproduce quickly, causing an infection. If the infection goes untreated, pressure builds and the appendix swells. Eventually, it swells so much that the blood supply to part of the appendix gets blocked. That part of the wall then dies. A hole or tear develops in the dead wall. The high pressure pushes the bacteria and pus into the abdominal cavity. So, a ruptured appendix usually oozes or leaks into the abdomen, rather than bursting like a balloon.