Until now, there are disputes about the presence of a diagnosis of "chronic appendicitis". Nevertheless, while he still meets. There are the following forms of chronic appendicitis: primary chronic, residual, recurrent.
Chronic residual appendicitis
The residual form is considered as one of the options for the outcome of acute appendicitis. It manifests itself as constant pulling pains or discomfort in the right half of the abdomen below. Signs of chronic appendicitis are accompanied by constipation or diarrhea. Increased pain after exercise or overeating.
Primary chronic appendicitis
This form of chronic appendicitis begins with gradual aching pains, a feeling of heaviness in the lower abdomen on the right, dyspeptic disorders. There is no history of a previous acute attack of appendicitis. With deep palpation, only slight pain can be noted. Body temperature remains within normal limits, no abnormalities are detected during laboratory examination.
Recurrentappendicitis
This form of chronic appendicitis is characterized by alternating attacks of pain in the lower abdomen on the right with periods of apparent improvement in well-being. During the period of exacerbation, fever, acceleration of ESR, and an increase in leukocytosis are noted.
Chronic appendicitis: symptoms, treatment
The diagnosis of chronic appendicitis, residual or recurrent, is made without much difficulty, since attacks of an acute illness are clearly traced in the anamnesis. But the primary chronic form requires the widest range of clinical, laboratory and instrumental studies. This is done to exclude other similar pathologies. Symptoms of chronic appendicitis are similar to manifestations of a stomach 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 conducting irrigoscopy in the absence of other pathology of the large intestine, a typical sign of chronic appendicitis is observed: the appendix is not filled with contrast, which is explained by blockage of its lumen, the presence of kinks or fecal stones. Indirect signs include spasm or atony of the intestine in the area of the transition of the small intestine to the large intestine. When conducting 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's position changes.
Treatment of chronic appendicitis
All patients suffering from chronic appendicitis are shown surgery - appendectomy. In most cases, recovery after such a procedure is fairly quick and easy. The situation can worsen only when the disease has affected other organs as well.
