APPENDICITIS
1. OCCURANCE
A
sudden acute inflamation of the
appendix is common surgical
emergency in developed countries it
occurs in about 200 people in
1,00,000 population. In developing
countries it is less common.
The vermiform appendix is located in
the right iliac fossa and is
attached to the cecum. It is from 6 to 10 cm in length. It has
a
mesoappendix with appendicular artery running in its free
border. The
lumen is lined with mucosa of the similar to the
colon
rich in lymph follicles. The
long axis of the appendix
may
lie in any position in a clockwise rotation. This
position
results in the varied site gaurding and tenderness
in cases
of
appendicitis.
Acute appendicitis is a common acute
surgical diagnosis in India.
It can occur at any age, the largest
number of cases occur in the
2nd and 3rd decades of life.
The disease occurs in males and
females with equal frequency.
Death
can occur if the disease spreads beyond the appendix
and
causes peritonitis.
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