APPENDIX

formally vermiform appendix in anatomy, a vestigial hollow tube attached to the cecum; the blockage of the appendix can result in appendicitis. Appendix The appendix is a narrow, muscular tube that is closed at one end and is attached to and opens into the cecum at its other end. (The cecum is the pouchlike beginning of the large intestine; the small intestine empties into the cecum.) The appendix does not serve any useful purpose as a digestive organ in humans, and it is believed to be gradually disappearing in the human species over evolutionary time. (The vermiform appendix exists only in human beings and higher apes, but an appendix-like structure does exist in wombats, civets, rodents, and a few other lower animals.) The appendix is usually 8 to 10 cm (3 to 4 inches) long and less than 1.3 cm (0.5 inch) wide. The cavity of the appendix is much narrower where it joins the cecum than it is at its closed end. The appendix has muscular walls that are ordinarily capable of expelling into the cecum the mucous secretions of the appendiceal walls or any of the intestinal contents that have worked their way into the structure. If anything blocks the opening of the appendix, or prevents it from expelling its contents into the cecum, appendicitis may occur. The most common obstruction in the opening is a fecalith, a hardened piece of fecal matter. Swelling of the lining of the appendiceal walls themselves can also block the opening. When the appendix is prevented from emptying itself, a series of events occurs. Fluids and its own mucous secretions collect in the appendix, leading to edema, swelling, and the distention of the organ. As the distention increases, the blood vessels of the appendix become closed off, causing the necrosis (death) of appendiceal tissue. Meanwhile, the bacteria normally found in this part of the intestine begin to propagate in the closed-off pocket, worsening the inflammation. The appendix, weakened by necrosis and subject to increasing pressure from within by the distention, may burst, spilling its contents into the abdominal cavity and infecting the membranes that line the cavity and cover the abdominal organs (see peritonitis). Fortunately peritonitis is usually prevented by the protective mechanisms of the body. The omentum, a sheet of fatty tissue, often wraps itself about the inflamed appendix, and an exudate that normally develops in the areas of inflammation behaves like glue and seals off the appendix from the surrounding peritoneal cavity. A person experiencing an attack of appendicitis may feel pain all over the abdomen or only in the upper abdomen or about the navel. This pain is usually not very severe. After one to six hours or more the pain may become localized to the right lower abdomen. Nausea and vomiting may develop some time after the onset of the pain. Fever is usually present but is seldom high in the early phases of the attack. The patient's leukocytes (white blood cells) are usually increased from a normal count of 5,00010,000 in an adult to an abnormal count of 12,00020,000; this phenomenon can be caused by many other acute inflammatory conditions that occur in the abdomen. In a person with a normally sited appendix, the pain of appendicitis is situated at a point between the navel and the front edge of the right hipbone. But many people have their appendix lying in an abnormal position, and they thus may feel the pain of an appendicitis attack in a different or misleading location, making their symptoms difficult to distinguish from the abdominal pain caused by a variety of other diseases. Careful diagnostic examination by a physician can usually determine if acute appendicitis is indeed causing a patient's abdominal pain. The basic treatment of appendicitis is the surgical removal of the appendix in a minor operation called an appendectomy. The operation itself requires little more than a half hour to carry out under anesthesia and produces relatively little postoperative discomfort. If a diagnosis of acute appendicitis cannot immediately be made with reasonable certainty, it is now customary to wait and observe the patient's symptoms for a period from 10 to 24 hours so that a definitive diagnosis can be made. This wait does slightly increase the risk that the appendix will rupture and peritonitis set in, so the patient is kept under careful medical surveillance at this time.