Appendix rupture

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Appendix Rupture

An appendix rupture or appendix perforation is a medical condition where the appendix bursts or tears, leading to a potentially life-threatening situation. This condition is a complication of appendicitis, which is an inflammation of the appendix.

Causes[edit | edit source]

The primary cause of an appendix rupture is untreated or late-treated appendicitis. The inflammation caused by appendicitis can lead to increased pressure within the appendix, causing it to burst. Other factors that may contribute to an appendix rupture include a blockage in the appendix due to fecal matter, foreign bodies, or, in rare cases, a tumor.

Symptoms[edit | edit source]

The symptoms of an appendix rupture are similar to those of appendicitis, but are typically more severe. These may include severe abdominal pain, particularly in the lower right quadrant, fever, nausea, and vomiting. In some cases, after the appendix has ruptured, the pain may temporarily decrease due to the release of pressure. However, this is usually followed by a worsening of symptoms as the infection spreads in the abdominal cavity.

Diagnosis[edit | edit source]

Diagnosis of an appendix rupture typically involves a physical examination, blood tests, and imaging tests such as an ultrasound, CT scan, or MRI. A delay in diagnosis can increase the risk of complications, making timely medical attention crucial.

Treatment[edit | edit source]

Treatment for an appendix rupture usually involves surgery to remove the appendix, a procedure known as an appendectomy. In some cases, if the rupture has led to an abscess, a drain may be placed to remove the pus before surgery. Antibiotics are also typically administered to treat the infection.

Complications[edit | edit source]

Complications of an appendix rupture can include peritonitis, which is an inflammation of the lining of the abdominal cavity, and an abscess, which is a collection of pus. Both of these conditions can be life-threatening and require immediate medical attention.

Prevention[edit | edit source]

Prevention of an appendix rupture primarily involves the prompt treatment of appendicitis. Regular medical check-ups and attention to persistent abdominal pain can help in early detection and treatment of appendicitis, thereby reducing the risk of an appendix rupture.


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Contributors: Prab R. Tumpati, MD