2. Acute appendicitis
• Acute appendicitis is a nonspecific bacterial
inflammatory disease of the appendix of the caecum.
• This is the most common disease of the appendix.
• The number of sick people is - 300-500 from 100 000
population per each year.
• The most common acute appendicitis occurs at the age
of 20 to 40 years, women get sick 2 times more often
than men. Mortality from the disease 0,1-0,3 %,
• Post operating complications are - 5-9 %.
3. Classification
by V.S. Saveliev (1995)
1. Acute appendicites,
2. Suppurative acute appendicitis :
a) Suppurative
b) Suppurative- ulcerous
3 Gangrenous/necrotizing
appendicitis :
a) primary gangrenous
b) secondary gangrenous
4. Variants of the location of the
vermiform appendix (depend on the
gestational age)
5. 2. Infective agents
• Primary infection leading to lymphoid
hyperplasia
• Secondary infection caused by pressure of an
obstructed agent leads to epithelial erosion and
bacteria gain access to the wall
15. Conclusions
• All patients with suspected acute appendicitis should be hospitalized for
dynamic observation.
• In case of a doubtful diagnosis of appendicitis, video laparoscopy should
be used ̆.
• When establishing destructive forms of appendicitis and the presence of
local unlimited or diffuse purulent peritonitis, the abdominal cavity must
be drained.
