K35.3

Clinical Causes: Blockage of the appendix lumen by fecaliths (hardened stool), foreign bodies, or lymphoid hyperplasia. Infection caused by bacteria or viruses that invade the appendix wall. Obstruction due to tumors or thickened lymphoid tissue. Structural anomalies of the appendix or surrounding organs that impair normal drainage. Genetic predisposition leading to weaker immune response.

Key Symptoms: Sudden onset of abdominal pain, often starting around the navel and migrating to the lower right abdomen. Tenderness in the right lower quadrant of the abdomen. Loss of appetite (anorexia). Nausea and vomiting. Low-grade fever and chills. Localized tenderness and resistance in the affected area. Possible swelling or a palpable mass in the lower abdomen. Elevated white blood cell count indicating infection.

Diagnosis Path: Physical examination revealing tenderness, rebound pain, and guarding in the lower right abdomen. Laboratory tests showing increased white blood cell count and possible signs of infection. Imaging studies such as ultrasound or computed tomography (CT) scan to visualize the inflamed appendix and surrounding tissues. Assessment of symptoms and medical history to rule out other abdominal conditions. In some cases, diagnostic laparoscopy may be performed for direct visual examination.

Treatment Protocols: Surgical removal of the inflamed appendix, known as an appendectomy, is often the definitive treatment. Antibiotic therapy to control infection and reduce inflammation, especially prior to surgery. Pain management with analgesics to alleviate discomfort. Monitoring for signs of complication or progression to more widespread peritonitis. Postoperative care including wound care and gradual return to normal activities.