Old books usually refer vermiform appendix as the body organ with no use. The common person makes a joke out of it as the organ that usually gives or share money to the doctor. But today we are already being educated that the appendix have also a role in maintaining the homeostasis of the body as it

Intraluminal pressure increases

Venous drainage Thrombosis and edema of appendix

Abdominal discomfort

Bacterial invasion of the bowel wall

Inflammation of vermiform appendix

Acute abdominal pain that comes in wave

hyperemia

Fever Exudates formation

Gangrene

Perforation

Bacterial invasion of peritoneal cavity

Walling off of omentum

Peritonitis

Sepsis

Death

Vomiting & loss of

appetite

Periumbilical pain (RLQ) @

Mcburneys point

Muscle guarding

Lying still &drawing the legs up to relieve pain

Sudden sharp pain in RLQ

Bowel sound diminished & abdomen distended

Pain subsides

Pathophysiology of Acute Appendicitis

Obstruction of appendix