What is a Phlegmon in appendicitis?

What is a Phlegmon in appendicitis?

A phlegmon is an inflammatory tumor consisting of the inflamed appendix, its adjacent viscera and the greater omentum, whereas an abscess is a pus-containing appendiceal mass[27-31].

What is Retrocaecal appendix?

Patients with a retrocaecal appendix may experience some mild right-sided or right flank tenderness. Long retro-colic inflamed appendix may cause confusions with cholecystitis (sub hepatic). Irritation of the posterior peritoneum may occur in retrocaecal or paracolic appendicitis and give psoas sign positive.

Where is the appendix located in the body?

Appendix is a finger-like pouch that is connected to the large intestine. It is located at the lower right abdominal quadrant [ 1 ]. Usually, it is 4 inches (10 cm) in length and pencil-thin [ 2 ]. This part of the body has no known function [ 3 ]. Anyone can be affected by this condition.

Why is the position of the vermiform appendix important?

Knowledge of the variations in the position of the vermiform appendix is important because, in appendicitis, its variable positions may produce variable symptoms and signs which mimic other diseases [5–7]. Further, understanding of these variations is important during other intra-abdominal procedures [4, 8].

Is the retrocecal position of the appendix important?

The retrocecal position of the appendix is worth appraising. Retrocaecal appendicitis lacks distinctive clinical pattern and has been theorized to follow a more insidious course than other anatomic variants [17, 25]. There is often limited systemic upset and no progression to affect the general peritoneal cavity.

How does the topography of the appendix affect its mobility?

Topography of the appendix influences its mobility, degree of mobilization of the cecum, and need for additional muscle splitting during appendectomy. Although appendectomy is a common surgical procedure, there is a paucity of data on its topography in black Africans. Methods.