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Gastrointestinal Surgery

Acute Appendicitis

Acute appendicitis from aetiology to operation: how obstruction leads to venous congestion and perforation, how presentation changes with the position of the appendix, and what favours peritonitis.

What this lecture covers

  • Aetiology and pathology
  • Distension, venous obstruction and the path to perforation
  • Factors favouring peritonitis
  • Outcomes of acute appendicitis
  • Clinical features: obstructive and non-obstructive
  • Signs, and special features according to appendiceal position
  • Differential diagnosis and investigations
  • Management and the complications of delay
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