Sealed off perforation due to Ruptured Appendix.

This video shows Sealed off perforation due to Ruptured Appendix.
We defined sealed-off perforation as a colon perforation with localized abscess identified on operative, computed tomography, or pathologic findings, with no evidence of free perforation, including fecal contamination and dirty fluid collection in the peritoneal cavity.
The primary symptoms of gastrointestinal perforation are severe abdominal pain and tenderness. The abdomen may also protrude or feel hard to the touch. If the hole is in a person's stomach or small intestine, the onset of pain is usually sudden, but if the hole is in the large bowel, the pain may come on gradually.
Bowel perforation is an acute surgical emergency where there is a release of gastric or intestinal contents into the peritoneal space.
Treatment most often involves emergency surgery to repair the hole. Sometimes, a small part of the intestine must be removed. One end of the intestine may be brought out through an opening (stoma) made in the abdominal wall. This is called a colostomy or ileostomy.
What is Sealed perforation?
Perforations are the second most common complication of peptic ulcer disease. They very often occur on the anterior wall of the duodenum or stomach. Posterior perforations are rare and are sometimes revealed by sub-phrenic abscesses. They are exceptionally sealed at the moment of the abscess diagnosis.
Symptoms of a perforated ulcer may include:
Sudden, severe pain in the belly (abdomen)
Pain spreading to the back or shoulder.
Upset stomach (nausea) or vomiting.
Lack of appetite.
Swollen belly.
If Appendicitis is not treated, it can rupture. As a result, bacteria are released into the abdomen and cause a serious infection. It can make the patient very sick and be hard to treat.
A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity. A pocket of pus forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess).
Without surgery or antibiotics (as might occur in a person in a remote location without access to modern medical care), the prognosis may not be good. For a ruptured appendix, the prognosis is more serious. Decades ago, a rupture was often fatal.
With laparoscopic surgery, a patient is often able to resume normal activities in one to three weeks. Open surgery may require about two to four weeks for recovery. With a ruptured appendix, it may take up to six weeks or more.
Nowadays doctors have turned to surgery to treat appendicitis, even though an inflamed appendix sometimes gets better on its own. A new report suggests that trying intravenous antibiotics first works as well as surgery for some people.
An appendix is a small, thin, wormlike sac. It’s located where small and large intestines connect in the lower abdomen on the right side. It is generally thought that it doesn’t have any important function so it can be removed without causing harmful effects.
If the opening to the appendix gets blocked by some material from the intestine, it becomes irritated, swollen, and infected. Sometimes an infection of the appendix can cause a hole that allows the infection to spread to the rest of the abdomen. This is called a "perforated" or "ruptured" appendicitis.
An ultrasound is a painless procedure that uses sound waves to provide images to identify organs within the body. Ultrasound can identify an enlarged appendix or an abscess. Nevertheless, during appendicitis, an enlarged inflamed appendix or abscess can be seen in only 50% of patients. But in expert hands with better equipment, the tear or ruptured point may be shown, as you can see in this case.
A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity. A pocket of pus forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess).
Tests and procedures used to diagnose appendicitis include:
Physical exam to assess your pain. Your doctor may apply gentle pressure on the painful area. ...
Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an
infection.
Urine test.
Imaging tests.
Predominant presenting symptoms were right iliac fossa pain (95%), nausea (80%), and vomiting (73%), with 63% of patients presenting 2 days after onset of symptoms. Fever was present in 15% and only 31% of patients gave a typical history of acute appendicitis of vague peri-umbilical pain.
Not all people will have the same symptoms, but it's crucial that you see a doctor as quickly as possible. According to Johns Hopkins Medicine, the appendix can rupture as quickly as 48 to 72 hours after the onset of symptoms.

[jahidhassan]

Very much informative sir.. may Allah gives u rewards for this great work and spreading knowledge among us.

[rajkumarkarapa]

Sir, Ruptered appendix, gum type material spreads to all stomach... To every corner attached every thing in my stomach.. Operation done.. I dont know all it was cleaned or not by doctors. My question is anything dangerous to me in future. Please reply me sir, doctors said it is rare in appendix operation.