14.2appendicitis-贾后军2016.pptVIP

Introduction It is the most common acute abdomen. Surgical Anatomy The Blood Supply of Appendix Aetiology 1. Obstruction of appendix lumen 2. Bacterial invasion Obstruction of lumen results from: Lymphoid hyperplasia Fecalith Adhesions Worms Tumor Pathogenesis Obstruction of appendix lumen increase intraluminal pressure lead to blood obstacle. contribute to bacterial invasion. Congestive, edematous Clinical pathology Acute simple appendicitis Acute purulent appendicitis Gangrenous and perforated appendicitis Abscess around the appendix Clinical manifestation* Symptoms 1. Abdomin