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Appendicitis (cont.)

Appendicitis Prognosis

  • With uncomplicated appendicitis, most people recover with no long-term complications.
  • If the appendix ruptures, there is a greater risk of complications, including death. This increase in risk generally is found in the very young, elderly, and those with weakened immune systems, including people with diabetes.
  • Whether a perforated appendix is a significant risk for infertility has not been well established. Some experts recommend that this be considered in young women who might be at risk.

Stump appendicitis is a rare condition where a small amount of remaining appendix tissue from a previous appendectomy becomes inflamed. About 1/10 of 1% of patients who had appendectomy developed stump appendicitis, in one retrospective study. Symptoms are similar to the original appendicitis, with right lower quadrant pain being the most common symptom.

REFERENCES:

Addiss, D. G., et.al., The Epidemiology of Appendicitis and Appendectomy in the United States. vol. 132, No. 5: 910-925

American Academy of Family Physicians. Acute Appendicitis: Review and Update.

Bendeck, S. et.al., Imaging for Suspected Appendicitis: Negative Appendectomy and Perforation Rates. Radiology 2002; 225:131-136.

eMedicine.com. Appendicitis.

MedscapeReference.com. Appendicitis.

National Digestive Diseases Information Clearinghouse. Appendicitis.

Rao, P,M. et al. Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates. Ann Surg. 1999 March; 229(3): 344–349.

UpToDate. Acute appendicitis in adults: Clinical manifestations and diagnosis.

UpToDate. Acute appendicitis in children: Management.


Medically Reviewed by a Doctor on 7/8/2014
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