Until now, there are disputes about the availability ofdiagnosis of "chronic appendicitis." Nevertheless, while he still meets. The following forms of chronic appendicitis are distinguished: primary-chronic, residual, recurrent.
Chronic residual appendicitis
The residual form is considered asone of the options for the outcome of acute appendicitis. It is manifested by constant pulling pains or unpleasant sensations in the right side of the abdomen below. Symptoms of chronic appendicitis are accompanied by constipation or diarrhea. Pain after stress or overeating increases.
Primary chronic appendicitis
This form of chronic appendicitis beginswith gradual aching pain, a feeling of heaviness in the lower abdomen on the right, dyspeptic disorders. In the anamnesis there is no earlier previous acute attack of appendicitis. At a deep palpation it is possible to note only insignificant morbidity. The body temperature remains within normal limits, while in the laboratory examination the deviations are not detected.
For this form of chronic appendicitischaracterized by alternating attacks of pain in the lower abdomen on the right with periods of apparent improvement in well-being. During the exacerbation, fever, an acceleration of the ESR, an increase in leukocytosis are noted.
Chronic appendicitis: symptoms, treatment
Diagnosis of chronic appendicitis residualor recurrent is exhibited without much difficulty, since in the anamnesis the attacks of an acute disease are clearly traced. But the primary chronic form requires the widest range of clinical, laboratory and instrumental studies. This is done to exclude a similar pathology. Symptoms of chronic appendicitis are similar to manifestations of stomach ulcers or duodenal ulcer, colitis, chronic kidney disease, urolithiasis and cholelithiasis, and in women - chronic inflammation of the uterine appendages. The complex of studies includes colonoscopy, fibrogastroscopy, ultrasound of the liver, kidneys. When carrying out irrigoscopy in the absence of another pathology of the large intestine, a typical symptom of chronic appendicitis is observed: the incomplete process of the appendix, which is due to the clogging of its lumen, the presence of kinks or fecal stones. Indirect attributes include spasm or intestinal atony in the area of the small intestine transition into the thick. When carrying out an ultrasound examination, the lumen of the appendix is not determined, the wall is thickened, the process does not change its position when the patient changes position.
Treatment of chronic appendicitis
All patients suffering from chronicappendicitis, surgical intervention is shown - appendectomy. In most cases, recovery after such a procedure is quite fast and easy. The situation can worsen only when the disease has affected other organs.