Pathophysiology of Acute Appendicitis

Obstruction of appendix

Intraluminal pressure increases

Abdominal Venous drainage Thrombosis and edema

discomfort of appendix

Bacterial invasion of
the bowel wall

hyperemia Inflammation of vermiform Acute abdominal pain

appendix that comes in wave
Fever
Exudates formation
Periumbilical pain Vomiting &
(RLQ) @ loss of
Mcburneys point appetite
Gangrene
Muscle guarding
Sudden sharp pain in RLQ Perforation
Lying still
&drawing the legs
Bowel sound diminished up to relieve pain
& abdomen distended Bacterial invasion of
peritoneal cavity

Pain subsides
Walling off of omentum

Peritonitis

Sepsis

Death

Old books usually refer vermiform appendix as the body organ with no use. The common
person makes a joke out of it as the organ that usually gives or share money to the doctor. But
today we are already being educated that the appendix have also a role in maintaining the
homeostasis of the body as it