APPENDICITS

Appendix is one of part of intestine that function as immunology organ and actively in secretion of immunoglobulin because have gland of lymphoid. Appendix also can experience of damage or attack of disease, this matter that frequently be referred as a Appendicitis, inflammation of appendix.

Cause of appendicitis include :

• Obstruction at lumen of appendix that be causedfecalite.
• Hyperplasia tissue of lymphoid.
• Worm disease.
• Bacteria, parasite, and corpora aliena.
• Stricture.
• Primary cancer.

Cause of appendicitis most frequently be found is obstruction at lumen of appendix as a effect of the existence of fecalith and hyperplasia tissue of lymphoid, this matter as a media for expand bacteria ( feces will contaminated by Escherichia coli ) which can trigger case of appendicitis. Another cause for obstruction at lumen of appendix are worm disease, primary cancer, and stricture. Inflammation that happened at case of appendicitis will cause supplylimfe and blood imperfect, so that cause existence of pressure, and finally appendix will experience of damage and happened gangrene. Deterioration of appendix will yield pus, if do not immediately be handled hence appendix will experience of perforation, and pus will be contaminated by bacteria that can be progressively extend to stomach cavity wall and will cause infection (Peritonitis ).

Symptom of appendicitis :

1. Acute appendicitis.

Symptom that appear heat body will high, vomit, and pain under stomach right side.

2. Chronic appendicitis.

Symptom that appear similar with gastritis, fever, often times be accompanied feel queasy, and even sometime vomit. Then, pain will move to right stomach under with typical sign acute appendicitis is pain at point of Mc Burney.

Diagnose of appendicitis :

1. Inspection of physical.

In acute appendicitis will appear swelling at abdomen cavity with sign distension at wall of abdomen. Palpation at right stomach under often times if depressed will felt pain, and if pressure be released also will felt pain that be referred blumberg sign as a key for diagnose of acute appendicitis.

2. Inspection of laboratory.

Inspection of blood laboratory can be found increase of leukocyte till around10.000 - 18.000 / mm3. If happened increase of leukocyte more than it, so that possibility of appendix have experienced of perforation.

3. Inspection of radiology.

Photo of stomach can show the existence of fecalith. But this inspection seldom assist for upholding diagnose of appendicitis. Ultrasonografi ( USG ) enoughassist as a enforcer diagnose of appendicitis ( 71 - 97 % ), especially for the woman of pregnant and children. Level of accuracy most high is inspection withCT scan ( 93 - 98 % ), because appendix will stand-out.

Treatment of appendicitis if diagnose beyond question at early condition can begiven antibiotic, but 35 % case earn recurrence. Treatment most precise issurgery that can be done by laparoscopy, and continued with give antibiotic during 7 - 10 days, then be done treatment at injury of surgery for prevention secondary infection and contamination.

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