OSOBENNOSTI PORAZhENIYa ChERVEOBRAZNOGO OTROSTKA POSLE APPENDIKULYaRNOGO INFIL'TRATA I PERIAPPENDIKULYaRNOGO ABSTsESSA

Abstract

Twenty-two vermiform appendages removed during delayed appendectomy in patients with a 1-6-month history of appendicular infiltrate (AI) or periappenducular abscess (PAA) were morphologically studied. The study revealed the signs of chronic inflammation in all cases and the morphological signs of an exacerbation of chronic inflammatory process. Based on the examination of pathomorphological changes, the authors determined the magnitude of an inflammatory process in the vermiform appendage depending on recurrences and its removal and substantiated the necessity of appendectomy in patients with AI or PAA as the appendage is a source of a chronic inflammatory process. Moreover, the risk of development of a destructive form substantially increases particularly when foreign bodies are present in the wall thickness.

Keywords

morphology / appendicitis / purulent complications

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