Abstract

How not to overlook appendicitis in an outpatient health center

Acute appendicitis (AA) is the most common surgical emergency. The lifetime risk is approximately 8%. Appendicitis occurs mostly in young adults aged between 20-30 years, but it can also develop in older and younger population or in pregnancy. The diagnosis and treatment of AA patients can be a considerable challenge. AA usually has a typical history: migration of pain, pain in the right iliac fossa, nausea, anorexia. A clinical scoring system, e.g. the Alvarado score or the Appendicitis Inflammatory Response (AIR) score, can be a valuable tool. It is necessary to perform laboratory tests and check inflammatory parameters (WBC, CRP). When the diagnosis is unequivocal, there is no need for radiological examination. If the diagnosis is unclear, ultrasound, CT and MRI scans can be helpful. Early appendectomy is the standard treatment strategy for AA. It can be performed laparoscopically or using the open-access method. Both strategies are acceptable. It is also possible to use a non-operative approach for carefully selected patients.

Piśmiennictwo

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