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Abscess appendicular


Limited purulent inflammation of the peritoneum, developing as a result of the process in the appendix as a complication of acute appendicitis. It can be located in the right iliac fossa (interintestinal) or in the douglas space (in the pelvic cavity). Restriction of the abscess is obtained by gluing the peritoneum, and then the formation of adhesions between the loops of the intestine, their mesentery and omentum.
Symptoms and course:
Severe pain in the right iliac region or lower abdomen, the development of a painful infiltrate of a tight-elastic consistency, sometimes with symptoms of softening in the center, fever, vomiting, stool disturbance, etc. A digital examination through the rectum or vagina greatly helps in the diagnosis.
The resulting abscess can break into the lumen of the intestine, which usually ends with self-healing, into the abdominal cavity leads to diffuse peritonitis, into the retroperitoneal space - the development of phlegmon.
Treatment:
At first conservative: antibiotic therapy, rest, diet, fight against intoxication. With a clearly limited abscess, surgical intervention is indicated: opening the abscess. In case of an abscess of Douglas space, an autopsy is performed through the posterior vaginal fornix or through the front wall of the rectum (after an abscess puncture, by needle). If the appendix is ​​not removed, the inflammation of which was complicated by an abscess, an urgent operation is indicated: removal of the appendix, opening and draining the abscess cavity.