Appendicitis is an inflammation of the appendix of the cecum, which is called appendicitis. The disease refers to the most frequent pathologies developing in the abdominal cavity, and can occur in men, women and children.
The highest risks of development in people from 20 to 40 years, but acute appendicitis in women develops 2 times more often than men.
What is phlegmonous appendicitis?
Phlegmonous appendicitis is one of the stages of the development of the disease. Physicians distinguish 3 stages of an inflammation of an appendix:
- catarrhal - there is a slight thickening of the walls and mild inflammation;
- Purulent - on the walls and in the cavity of the appendage there are purulent processes - processes; pain is more pronounced than catarrhal;
- phlegmonous - a thickening and an increase in the process develops, the patient finds a strong suppuration in this area; this form is already life-threatening - within a few hours the appendix can burst.
Causes of phlegmonous appendicitis
Phlegmonous appendicitis is one of the stages of the disease, and therefore the reasons for its development lie in the absence of treatment of the first stages, and as a consequence, in the development of complications.
First of all, the development of phlegmonous appendicitis is affected by thrombosis of the appendix vessels. This occurs against the background of increased inflammation in this area and suppuration, which in turn develop due to compression of the veins. Thus, the main cause of the phlegmonous form is the presence of the inflammatory process, the adherence of the purulent stage, in the absence of treatment, and further develops a phlegmonous form threatening the rupture of the process.
Why appendicitis occurs, physicians are not yet able to answer accurately - some believe that the reason for activating the bacterial flora, others see the cause of blockage of the lumen - this is the so-called mechanical theory. According to her, the bacterial flora of the intestine (numbering 500 species of bacteria and fungi) affects the appendix due to necrosis, which develops due to compression of the intraorganic veins, and as a consequence, bacteria infect the necrotic areas, which ultimately leads to a phlegmonous stage. Also, many doctors say that there are other possible causes - for example, helminthiasis, tumors, swallowed foreign bodies.
Signs of acute appendicitis
Phlegmonous appendicitis can lead to local serous peritonitis if the process splits. That is why it is recommended to remove it at an early stage of the disease.
First of all, appendicitis is characterized by severe pain in the right side of the abdomen. It eventually builds up, and because of the inflammatory process, especially accompanied by suppuration, a person has a fever, there is general weakness and a headache. Further, the patient may develop nausea and vomiting.
At the first sign of the disease you need to call an ambulance for hospitalization.
Treatment of phlegmonous appendicitis
Phlegmonous appendicitis requires removal of the appendage. This is a difficult stage, which gives risks even in the provision of timely operative care before the development of peritonitis . The operation is performed under general anesthesia and lasts about 40 minutes. If successful, the patient is fully restored.
Postoperative period with phlegmonous appendicitis
The patient is fully restored within a month. If a routine operation was performed, then a 10-centimeter suture has a burgundy color within six months. If it was carried out
Diet with acute phlegmonous appendicitis
After excision of the appendicitis, the patient should not be admitted:
- smoked products;
- meat;
- coarse, fried and fatty foods;
- sharp spices;
- carbonated drinks and pickles.
Food should come from crushed products, soups, mashed potatoes, watery cereals, grated fruits and vegetables.