![]() Phytobezoar develops through the combination of plant substances which are not digested in the gastrointestinal system –. Moreover, though appendectomy is the most common general surgical operation and can be performed in all hospitals, yet no publications related to the series are available in hospitals. We consider that those 34 fruit seed subjects in literature do not reflect the facts due to the publishing criteria of the journals as well as the difficulties in scanning articles of the journals, and lack of indexing. The appendicitis cases with fruit seeds included in this study were similar to that reported by Byard et al. Since the fruit seeds in appendix are very rare, relevant publications are generally submitted to literature as case reports. 34 fruit seed cases were reported by others. In one study, fruit seed was found in 1 among 1 969 appendectomy materials (1/1 969, 0.05%). In the series which Byard and his colleagues published in 1988, it was reported that among 1 409 appendectomy materials, fruit seed was observed only in one of the cases.(1/1 409, 0.07%). So in appendectomy series the range of fecalith in noninflamed appendix is 20%-30%. fecalith) do not cause inflammation of the appendix all the time but these may cause acute abdominal pain that mimics acute appendicitis and this patients are required to undergo appendectomy for acute appendicitis. There are reported cases of appendicitis which are caused by seeds of vegetables and fruits such as cocao, orange, melon, barley, oat, fig, grape, date, cumin, and nut –. Some of the fruit seeds swallowed are removed from the body naturally, while some of them can be the cause of appendicitis. The foreign bodies leading to appendicitis can be listed as follows metal needles, shot particles swallowed by eating the animals meat, tooth stick, tooth fills, as well as fruit seeds. ![]() Because the peristaltic activity of appendix is not able to discharge this substance into cecum, the accumulation of foreign bodies can lead to obstruction of the lumen, and therefore lead to inflammation. More heavier substances, on the other hand, locate in the lower part of cecum and can easily enter appendix lumen. ĩ5% of the substances which are taken orally but not digested pass through the digestive system without any problem. When inflammation becomes transmural and causes pyogenesis in peritoneum covering right lower quadrant, the character of pain would be changed and the obtuse colic pain would be replaced by constant and severe pain, , –. Typically, this is followed by nausea, but nausea can also not be presented. Pain can be partially or extensively around navel, and can be difficult to localize. The typical clinical process begins with intermittent stomachache like cramps thought to be caused by the blockage of appendicular lumen. Bacterial reproduction and translocation in internal lumen sticks to all wall layers of appendix, and leads to inflammation, edema and necrosis. When appendicular mucosa continues fluid secretion, the internal pressure of lumen in obstructed appendix increases, and the increased pressure on appendix wall can lead to mucosal ischemia by exceeding the capillary pressure. However, this can cause inflammation such as appendicitis. Because most of these materials are on the streamlines, they can enter into organ lumen without leading to any symptoms. Appendix can be infiltrated by materials such as fecal material, microbes and parasites. Young age is a risk factor, and nearly 70% of appendicitis cases are under 30. ![]() It was estimated that 8.6% of men and 6.7% of women develop acute appendicitis in their lifelong. ![]() Īppendicitis is more common in males with a ratio of male/female of 1.4/1. The positions relative to the direction of appendix can be as follows: retrocecal, pelvic, sub-cecal, ileocecal and right pericolic. Generally speaking, the relation between appendix base and cecum do not change, but tip of appendix can be in different directions.
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