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“The evidence of certainties makes me doubt.”
Anonymous poet Geneva
Therapy of Appendicitis
Most practitioners know nowadays that acute appendicitis is not simply an inflammation of this organ, but the result of its obstruction.
Not infrequently, an appendicolith, especially when calcified, is already visible on simple X-Ray.
Every intervention takes a toll in complications, and thus surgeons try the more to obviate an operation.
There is not a single organ in our body without a function of its own, and thus we can consider also the appendix vermicularis.
This small intestine is rich in enterochromaffin cells.
Early experience with ultrasound, despite promising results, brought this most modest modality of radiology frequently in disrepute.
The reason for that is that massaging of the right iliac fossa during the examination released the plug from appendix entrance.
Subsequent CT examination failed to demonstrate the inflammation.
Hence, you can reverse the process, if not too advanced by simple gentle pressure and massage.
The best is to do this under ultrasound guidance, because of direct control.

