How can B-ultrasound lead to chronic appendicitis?

Appendicitis is not a serious illness, but if it is not treated in time, it may be life-threatening. So how is chronic appendicitis caused? Can chronic appendicitis be seen by B-ultrasound? Let's have a look.

How is chronic appendicitis caused?

1 is the stenosis of appendix cavity, and the peristalsis function of appendix is weakened. Most chronic appendicitis has a history of acute appendicitis. Long-term repeated inflammation leads to the narrowing of appendix cavity and thickening of appendix wall, which leads to the decline of peristalsis function of appendix.

2, that is, there are usually fecal stones in the appendix cavity, or some ascaris obstruction, which is also a common cause of chronic appendicitis.

3. It is some factors outside the appendix cavity, such as swollen lymph nodes in abdominal cavity, which oppresses the appendix cavity and causes the appendix cavity to be narrow, making the bacteria in the appendix cavity like gram-negative bacteria. The reproduction and infection of anaerobic bacteria in the appendix cavity is also a common cause of chronic appendicitis.

Can chronic appendicitis be seen by B-ultrasound?

In general, the diagnosis of chronic appendicitis is mostly confirmed by asking about the medical history, physical examination, laboratory examination and auxiliary examination. As an auxiliary examination of chronic appendicitis, B-ultrasound is very important for the diagnosis of chronic appendicitis. Under normal circumstances, most chronic appendicitis can be seen under B-ultrasound, such as thickening of the appendix cavity wall, obstruction of fecal stones in the appendix cavity, or adhesion between the appendix and the surrounding area. B-ultrasound plays an important role in the diagnosis of chronic appendicitis, so most chronic appendicitis can be seen under B-ultrasound.

What are the symptoms of chronic appendicitis pain?

The pain of chronic appendicitis does not have a typical history of metastatic pain in the right lower abdomen like acute appendicitis. Chronic appendicitis usually manifests as long-term, repeated pain, discomfort or dull pain in the right lower abdomen, and generally there is no such symptom as epigastric pain. Physical examination is often a kind of fixed tenderness in the right lower abdomen, and rebound pain generally does not exist. Rebound pain only exists in the right lower abdomen when acute attack of chronic appendicitis and signs of peritonitis appear.

Is chronic appendicitis very painful?

Most chronic appendicitis does not have obvious metastatic pain in the right lower abdomen like acute appendicitis, and the upper abdomen is generally painless, usually just showing repeated pain, discomfort or swelling in the right lower abdomen. Physical examination only showed the fixed tenderness of Maxwell point in the right lower abdomen; Some chronic appendicitis will also have an acute attack, with metastatic pain in the right lower abdomen and obvious tenderness and rebound pain in the right lower abdomen, indicating that chronic appendicitis will have pain under normal circumstances.