What can happen if it is let evolve an acute appendicitis? The most frequent complication is than the wall of the necrosa appendix (gangrenous appendicitis), that brings about a perforation, with consequent generalized peritonitis, or in some cases the adjacent intestinal handles are affected of such way that it brings about perforation of the thin intestine. Another complication is the possibility that epipln can adhere, restricting peritonitis to the right iliac grave. Fibrosis and the persistent inflammation produce a mass in right iliac grave (apendicial mass). This can be solved by means of healing, by formation of an abscess that drains towards the surface or by perforation with generalization of peritonitis. An extremely infrequent complication but that is not due to happen to leave by stop is the dissemination of the infection by the branches of the vein porthole that can propagate it to the liver; before, this one was an important cause of pimicos abscesses vestibules in liver. Which is the handling of a peritonitis? A peritonitis that is of greater gravity, the treatment is handled intrahospitable since it requires of more days of observation, drainages, and great amount of antibiotics. Some patients with peritonitis do septicemia and can die numbers are (it handicapped thanks to the amount of antibiotics handled nowadays and to the effectiveness of the handling of this pathology). Which is the treatment of an appendicitis water? The handling of this pathology is solely the apendicetoma (extraction of the appendix).

In which in the preoperative stay the patient is hydrated and receives some prophylactic and analgesic antibiotics. Note: a great medical error is before the consultation of a patient with pain in the right iliac grave or generalized abdominal pain, is to give analgesic since they can mask to the acute appendicitis and finish in a peritonitis. The decision by an experienced doctor and with ample knowledge in the pathology can be taken, discarding this problem by diagnosis before seen. Hospitable valuation Summer 2009 (Brown Arthur Perez) Chihuahua Chih. Voluntary Clinical rotations (Gastroenterology Area) Original author and source of the article.