Etiology

  • Luminal obstruction: fecalith, lymphoid hyperplasia

Pathogenesis

  • Obstruction → bacterial overgrowth → ischemia → perforation

Diagnosis

  • RLQ pain, McBurney tenderness

  • Elevated WBC

  • Ultrasound / CT scan (most accurate)

Treatment

  • Appendectomy

  • Antibiotics (pre- and post-op)