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Acute Appendicitis Emergency Approach

Delayed treatment of appendicitis can lead to perforation and peritonitis.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Acute Appendicitis Emergency Approach?

Acute appendicitis is the inflammation and infection that develops as a result of obstruction of the lumen of the appendix vermiformis. If untreated, it can progress to perforation, abscess, or generalized peritonitis.

In the emergency department, diagnosis is made through clinical findings, laboratory tests, and imaging methods. Alvarado score and ultrasound/CT findings support the diagnosis.

Surgical treatment (appendectomy) is the gold standard; in uncomplicated cases, the laparoscopic method is preferred. Early diagnosis and rapid surgical consultation reduce complications.

Symptoms

Pain starting around the umbilicus and spreading to the right lower quadrant
Loss of appetite and nausea
Low-grade fever
Rebound tenderness and guarding
Vomiting
Inability to pass gas or constipation

Risk Factors

Young age (10-30 years most common)
Male gender (slight predominance)
Low-fiber diet
Family history of appendicitis
Fecaliths and lymphoid hyperplasia

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If abdominal pain lasts more than 6 hours, go to the emergency department
  • If pain has localized to the right lower quadrant, do not waste time
  • Have abdominal pain accompanied by fever evaluated immediately

Treatment Methods

01
Laparoscopic or open appendectomy
02
Intravenous antibiotic therapy
03
Percutaneous drainage in case of abscess
04
Fluid resuscitation and pain management
05
Postoperative early mobilization

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.