The patient, a male, reported that he had abdominal pain for no apparent reason the afternoon before yesterday. It was mainly located in the right lower abdomen. There was no radiating pain. The nature of the pain was dull and tolerable. There was no cough or sputum, no chest tig

, a male, reported that he had abdominal pain with no obvious cause the afternoon before yesterday. It was mainly located in the right lower abdomen. There was no radiating pain. The nature of the pain was dull and tolerable. There was no cough and sputum, no chest tightness and shortness of breath, no belching, acid reflux, and no hematemesis and diarrhea. Wait for discomfort. Yesterday, the patient felt that his abdominal pain gradually worsened. In the afternoon, he took Huoxiang Zhengqi Water and antipyretics (unknown) due to dizziness and fever. He vomited once in the evening, and the vomitus was stomach contents. He came to me early this morning because the abdominal pain continued to not be relieved. Hospital emergency room visit.

pre-test blood routine + high-sensitivity C-reactive protein : JZ-five categories of blood routine + high-sensitivity C-reactive protein (emergency) [2022-06-28 00:47:471: White blood cells: 20.86x10^9/L; Neutrophil percentage : 89.00%; Lymphocyte percentage : 3.60%; Hemoglobin: 141g/L; High-sensitivity C-reactive protein (immunofluorescence): 23.17mg/L;

B ultrasound shows: uneven right lower abdomen Mass mass ( appendicitis )

After completing relevant pre-operative preparations, appendectomy was performed in the operating room. During the operation, the appendix was congested and swollen. The cut appendix was sent to for pathological examination , and the result was reported: acute cellulitis appendicitis .

What are the symptoms of appendicitis:

Appendiceal lumen blockage or inflammatory changes in the appendix caused by bacterial infection

It usually occurs in young adults aged 20 to 30 years old

Appendectomy is the most effective treatment method

The typical symptom of appendicitis is pain in the right lower abdomen .

In acute appendicitis, abdominal pain lasts for several hours to more than ten hours or even longer. About 70% to 80% of patients have typical metastatic right lower abdominal pain, and some patients may experience right lower abdominal pain in the early stages of the disease.

During acute appendicitis during pregnancy, abdominal pain may appear in the right upper quadrant because the appendix is ​​pushed to the upper right by the enlarged uterus.

Chronic appendicitis Pain in the right lower abdomen can occur repeatedly intermittently, and some patients may only have dull pain or discomfort.