During the annual meeting of American Association of Gynecologic Laparoscopists a case of chronic appendicitis has been reported. A woman aged 33 who complained of dysmenorrhea, dyspareunia, inability to conceive. She suffered from pain in the right lower quadrant and episodes of acute pain in the right lower quadrant. During the intraoperative evaluation was found an Allen-Masters peritoneal defect, with obstruction of the left fallopian tube and abnormal-appearing appendix. At the histological evaluation the submucosal fat deposition was associated with chronic inflammatory reaction and chronic apendicitis.



But after few months the symptoms disappeared and the patient was pregnant in 12 weeks. Although rare chronic apendicitis may surviene. And chronic pelvic pain has been described as a symptom for chronic appendicitis. After appendicectomy in those cases of persistent right lower quadrant pain and abnormal appendix in most cases the symptoms disappeared.

Chronic pelvic pain has multiple etiologies, has been defined as a nonmenstrual pain lasting at least 3 months, it has been observed especially in young women during their reproductive period. Many such cases are maintained under observation by the gynecologists and resolved through laparoscopies.

Laparoscopy is used to view directly the appendix and all the other abdominal organs, with the help of the small camera and fiberoptic tube the appendix may be removed easily. Drop test consists of: standing on the tip of the toes and drop to the heels, if you feel a sharp pain to the appendix area, the appendicitis is confirmed. If you push on the other side of the abdomen where the patient reports the pain, quickly remove the pressure the pain will be felt in the appendix area.

It is compulsory to have a surgical intervention immediately the diagnosis of acute appendicitis is established. The operation is known as: appendectomy. It is a common condition and a common operation in the world. Laparoscopic is performed in the right lower abdomen, if the appendicitis is uncomplicated the patient is able to go home in 24-48 hours from the operation.

If appendicitis was suspected and during surgical procedure the surgeon find that the appendix is not inflammed, than the surgeon will remove it anyway and look for other causes of possible pain in the abdomen. Recognizing acute appendicitis is not a difficult matter as long as you know its symptoms. The physical examination of the patient and its history help you put a correct diagnosis. Diagnostic methods to confirm diagnosis are necessary for example a very usefull one is counting white blood cells which becomes elevated in infections. In mild appendicitis white blood cells are normal, or mild elevated.

Elevated temperature and moderate and severe tenderness in the right lower abdomen when the doctor pushes there, sometimes there is rebound tenderness which means that when the doctor pushes on the abdomen and quickly releases his hand the pain comes suddenly worse.

For more resources about signs of appendicitis or even about chronic appendicitis please visit this website http://www.appendicitis-center.com/