Appendicitis is characterized by inflammation of the appendix, which is a small (about 9 cm) appendage of the cecum. Due to the characteristics of the body, it is able to become inflamed and provoke the development of the most common surgical disease. Therefore, it is especially important to diagnose this pathology in time.
Disease basics
If urgent measures are not taken with the acute form of appendicitis, the pathology can be life-threatening, since it leads to perforation of the appendix and purulent diffuse peritonitis.
The main symptom of acute appendicitis is a sharp appearance of abdominal pain. Pain in this case is characterized by the following symptoms:
- sensations initially exacerbate in the epigastric region;
- after 6-8 hours, the pain moves to the right iliac region;
- later it assumes a diffuse character;
- pain manifests itself constantly, with periodic intensification and weakening, but there are no painless moments;
- with any movements, pain increases, so a person with acute appendicitis moves, holding his hand on the right side of the abdomen, which is one of the characteristic symptoms of this disease;
- acute pain indicates purulent inflammation;
- a decrease in pain in the acute form of the course indicates the beginning of the gangrenous process and the death of nerve endings.
Diagnostic nuances
Usually the disease does not cause difficulties in diagnosing. Appendicitis is determined on the basis of its characteristic features, which include the positive symptoms of Rowzing, Sitkovsky, etc.
So, when determining the latter, pain on the right in the iliac region is enhanced when the patient lies on his left side. According to the observations of Sitkovsky, the injection of pain is due to the fact that the cecum process is stretched and its deformation causes pain. The pain is aggravated by the tension of the mesentery of this process.
A symptom of Rovzing with appendicitis is characterized by the appearance of pain in the right iliac region, if the doctor makes a jerky palpation in the projection of the lateral canal, in the left side of the abdomen (from left to right).
The following symptoms are also among the most significant:
- Symptom Bartomier - Michelson - the appearance of pain during palpation of the cecum, if the patient lies on his left side.
- The symptom of Obraztsov is an increase in pain when pressure is applied to the cecum, with an simultaneous attempt to raise the straightened right leg.
A detailed examination of the symptom of Rowzing
Rowzing's symptom is an increase in a painful condition on the right when pressure is applied to the sigmoid colon (it is located in the left ileal region) and in the manifestations of convulsive spasms above it. When viewed from the abdominal wall in the left part of the ileal region, they are pressed with the fingers of the left hand, assembled together, and without taking them away, the right one makes a short push on the region of the colon lying above. The symptom of Rowzing is designed for the movement of gases during a jolt.
Nevertheless, in some cases, it is difficult to make a correct diagnosis when examining a patient, as there may be no symptom of Rozing. It is especially difficult to distinguish from the manifestations of the described disease the symptoms of rupture of the abdominal aortic aneurysm, with the spread of blood in the right iliac region.
Rowzing's symptoms are not used very often, but they, by the way, are considered one of the most reliable for the correct diagnosis of appendicitis.
The significance of the correct diagnosis
In modern medicine, with a mild form of appendicitis, laparoscopic operations are performed that do not require an abdominal incision. In this case, an endoscopic instrument is inserted into the abdominal cavity through a small incision in the tissue. This method allows you to avoid surgical intervention, as well as significantly reduce the rehabilitation period. The risk of postoperative complications after laparoscopic appendectomy is minimal.
But, unfortunately, the symptoms of appendicitis are periodically confused with the manifestations of other pathologies:
- pancreatitis
- renal colic;
- acute cholecystitis;
- peptic ulcer of the stomach;
- acute inflammation of the bladder and female organs.
Positive symptoms of Rowzing and other signs play an important role in the diagnosis of this pathology, but in cases of abnormal position of the appendix, the clinical picture may be blurred. Therefore, it is very important to pay attention to the peculiarities of the arisen pain in a timely manner.
In order to avoid serious consequences, you should seek specialized medical help, otherwise it can end tragically. It is important to understand that in such cases, self-diagnosis is extremely dangerous.