Pelvic pain a potential cause of chronic appendicitis

the annual meeting of American Association ofsharp pain to the appendix area, the appendicitis is
Gynecologic Laparoscopists a case of chronicconfirmed. If you push on the other side of the
appendicitis has been reported. A woman aged 33abdomen where the patient reports the pain, quickly
who complained of dysmenorrhea, dyspareunia, inabilityremove the pressure the pain will be felt in the
to conceive. She suffered from pain in the right lowerappendix area.
quadrant and episodes of acute pain in the right lowerIt is compulsory to have a surgical intervention
quadrant. During the intraoperative evaluation wasimmediately the diagnosis of acute appendicitis is
found an Allen-Masters peritoneal defect, withestablished. The operation is known as: appendectomy.
obstruction of the left fallopian tube andIt is a common condition and a common operation in
abnormal-appearing appendix. At the histologicalthe world. Laparoscopic is performed in the right lower
evaluation the submucosal fat deposition wasabdomen, if the appendicitis is uncomplicated the
associated with chronic inflammatory reaction andpatient is able to go home in 24-48 hours from the
chronic apendicitis.operation.
But after few months the symptoms disappeared andIf appendicitis was suspected and during surgical
the patient was pregnant in 12 weeks. Although rareprocedure the surgeon find that the appendix is not
chronic apendicitis may surviene. And chronic pelvicinflammed, than the surgeon will remove it anyway and
pain has been described as a symptom for chroniclook for other causes of possible pain in the abdomen.
appendicitis. After appendicectomy in those cases ofRecognizing acute appendicitis is not a difficult matter
persistent right lower quadrant pain and abnormalas long as you know its symptoms. The physical
appendix in most cases the symptoms disappeared.examination of the patient and its history help you put
Chronic pelvic pain has multiple etiologies, has beena correct diagnosis. Diagnostic methods to confirm
defined as a nonmenstrual pain lasting at least 3diagnosis are necessary for example a very usefull
months, it has been observed especially in youngone is counting white blood cells which becomes
women during their reproductive period. Many suchelevated in infections. In mild appendicitis white blood
cases are maintained under observation by thecells are normal, or mild elevated.
gynecologists and resolved through laparoscopies.Elevated temperature and moderate and severe
Laparoscopy is used to view directly the appendix andtenderness in the right lower abdomen when the
all the other abdominal organs, with the help of thedoctor pushes there, sometimes there is rebound
small camera and fiberoptic tube the appendix may betenderness which means that when the doctor pushes
removed easily. Drop test consists of: standing on theon the abdomen and quickly releases his hand the pain
tip of the toes and drop to the heels, if you feel acomes suddenly worse.