Acute appendicitis occurs in four stages. One of them is phlegmonous. It comes after a purulent stage and covers the whole organ, when the pockets of pus connect with each other. If the surgical procedure is not performed in time, acute phlegmonous appendicitis can cause a breakthrough with subsequent local serous peritonitis and other complications, up to a lethal outcome.
Symptoms of acute phlegmonous appendicitis
If the patient developed acute phlegmonous appendicitis, the following symptoms appear:
- stupid, aching and cramping pains (most often in the right side of the abdomen);
- nausea (vomiting often occurs);
- a sharp rise in temperature above 38 degrees;
- weakness;
- sweating;
- tachycardia more than 90 beats per minute.
If the appendicitis has a pelvic or retrocecal location, dysuria can develop. This is a violation of urination, which is caused by the squeezing of the urethra. Also in patients with this pathology, the muscular wall of the abdomen is strongly strained and pains are significantly intensified when the palm is pressed against the abdomen.
Diagnosis of acute phlegmonous appendicitis
Preliminary diagnosis is made to the patient on the basis of the examination. It is very important until this point not to take any pain medication. This can cause complications during the diagnosis and will contribute to the development of complications of the disease. Also in this period of time it is necessary to exclude the consumption of food and liquid.
After the examination, laboratory tests are carried out. The micro-product of blood with phlegmonous appendicitis contains an increased number of leukocytes. The more of them, the sharper the inflammation. Some patients are prescribed ultrasound of the abdominal cavity and X-rays. They help to identify the presence of ulcers on the mucosa of the appendix with phlegmonous-ulcerative appendicitis.
Treatment of acute phlegmonous appendicitis
To prevent purulent inflammation of the veins of the liver, abdominal sepsis or local serous peritonitis, phlegmonous appendicitis should be treated only by an operative method. The earlier appendectomy is performed, the less complications a patient will have and the easier the rehabilitation period will flow. In modern surgery, appendicitis is excised in several ways:
- Laparoscopic appendectomy is performed only at the initial stages of inflammation.
- Transluminal operation - removal by means of flexible and delicate instruments by inserting them through the stomach or vagina.
- Surgery is performed through a cut on the abdomen.
- Appendectomy in patients without obesity is performed under local anesthesia. In children and people with a large body weight, such an operation is done under general anesthesia. If there are no complications, the removal does not last more than 40 minutes.
Recovery after acute phlegmonous appendicitis
In the postoperative period after removal of phlegmonous appendicitis it is necessary:
- Observe strict bed rest.
- Observe the frequency of emptying the intestine.
- Knead limbs with a set of physical exercises recommended by a doctor.
Also, after the removal of phlegmonous appendicitis, a special diet should be observed for several weeks. It is necessary to exclude fatty, too sharp, marinated and smoked products. You need small portions. You can not drink carbonated drinks, eat beans and other products that cause flatulence.
Non-compliance with diet after acute phlegmonous appendicitis will lead to irritation of the intestine. As a result, food will be poorly digested, and a person will experience a feeling of nausea and severe pain in the field of surgery.