To date, there is debate about the diagnosis of chronic appendicitis. Nevertheless, while he still meets. The following forms of chronic appendicitis are distinguished: primary-chronic, residual, recurrent.
Chronic residual appendicitis
The residual form is considered as one of the outcome options for acute appendicitis. It manifests itself as constant pulling pain or discomfort in the right half of the abdomen below. Signs of chronic appendicitis are accompanied by constipation or diarrhea. Pain intensifies after exertion or overeating.
Primary chronic appendicitis
This form of chronic appendicitis begins with gradual aching pain, a feeling of heaviness in the lower abdomen on the right, dyspeptic disorders. There is no previous history of an acute attack of appendicitis. With deep palpation, only slight pain can be noted. Body temperature remains within normal limits, with a laboratory examination, deviations are not detected.
Recurrent appendicitis
This form of chronic appendicitis is characterized by an alternation of attacks of pain in the lower abdomen on the right with periods of marked improvement in well-being. During an exacerbation, fever, an acceleration of ESR, an increase in leukocytosis are noted.
Chronic appendicitis: symptoms, treatment
A diagnosis of residual or recurrent chronic appendicitis is made without much difficulty, as the history of acute seizures clearly shows. But the primary chronic form requires the widest range of clinical, laboratory and instrumental studies. The indicated is carried out to exclude another similar pathology. Symptoms of chronic appendicitis are similar to manifestations of a stomach ulcer or duodenal ulcer, colitis, chronic kidney disease, urolithiasis and cholelithiasis, and in women, chronic inflammation of the uterus. The complex of studies includes colonoscopy, fibrogastroscopy, ultrasound of the liver, kidneys. When conducting irrigoscopy in the absence of another pathology of the large intestine, a typical symptom of chronic appendicitis is observed: non-filling with the contrast of the appendix, which is explained by blockage of its lumen, the presence of excesses or fecal stones. Indirect signs include spasm or atony of the intestine in the area of transition of the small intestine to the colon. When conducting an ultrasound examination, the lumen of the appendix is not determined, the wall is thickened, the appendix does not change its position when changing the position of the patient.
Treatment of chronic appendicitis
All patients suffering from chronic appendicitis are shown surgical intervention - appendectomy. In most cases, recovery from such a procedure is quick and easy. The situation can worsen only when the disease has affected other organs.