Appendicitis with amoebiasis
Helminthiases / / April 27, 2016
Complications of amoebiasis
Appendicitis with amoebiasis develops due to the spread in the appendix of the cecum or typical amoebic and ulcerative lesions, or only a concomitant inflammatory process.True amebic appendicitis among all appendicitis has a small specific gravity.When amebiasis frequency of appendicitis, according to the observations of individual authors, different and varies from 1-6%.In connection with the predominant localization amebic ulcers in the cecum it is always a real threat to their distribution and to the appendix.Keep this in mind especially in endemic foci of amebiasis is necessary.
Pathomorphological for amoebic appendicitis is characterized by typical ulcerative mucosal lesions.However, due to the early accession of bacterial infection I rapid development of destructive process picture of ulcerative lesions of the appendix quickly glossed over, I'm on the operation or section often find severe destructive forms of appendicitis.
Mortality in acute amoebic appendicitis wi
clinical picture amebic inflammation of the appendix as a whole is similar to the usual symptoms of acute appendicitis.Severity of symptoms depends on the local degree of secondary bacterial infection process amoebic ulcers and pathological changes.A distinctive feature of this disease is that of acute appendicitis symptoms occur against a background of signs of intestinal and hepatic amoebiasis - pain such as intestinal colic, loose stools with mucus or blood, increase and morbidity of the liver, bloating, rumbling in the intestine, etc. In a number of..cases there is uncharacteristic for a normal appendicitis higher temperature with the wrong type of curve.Amoebic appendicitis have a long and very severe and is often complicated by the emergence of non-healing of the intestinal fistula, severe general peritonitis.For early detection of the disease in the first place it is necessary that the surgeon could remember about the possibility of this etiology of appendicitis, especially when its in countries with hot climates.
- Amebiaz symptoms
- Perforation and colon gangrene when amebiasis
Treatment of acute amoebic appendicitis usually complex:appendectomy necessarily should be combined with specific therapy amebiasis.Without this operation, even in combination with antibiotics it is ineffective and does not prevent death.In chronic amebiasis appendix surgery is contraindicated, for giving an impetus to a more rapid progression of inflammatory and ulcerative processes in the intestine and leads to such severe complications like intestinal fistula, mezhkishechnye abscesses, ruptured peritonitis and others. Chronic amebic appendicitis amenable to specific treatment drugs combinationacting on amoebae in tissues and intestinal tract.
In endemic foci of amebiasis is desirable to follow the rule: in chronic appendicitis is not to resort to surgery to patient studies on amoebiasis and conducting a trial of combination therapy antiamebnoy.