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| English: A cat scan demonstrating acute appendicitis (note the appendix has a diameter of 17.1mm) (Photo credit: Wikipedia) |
All went in vain, became frustrated, not to
find the one; saw an enlarged right ovary that was mentioned to be normal in
the ultrasonogram. But, I was after appendix. A little confusion, is the
enlarged ovary the cause of pain, not appendix?
To my good
luck, thought came to mind to feel upwards, high up, towards Gall Bladder, some
structure similar to the feeling of a diseased appendix was felt, raising some
hope and apprehension. Apprehension is that, is it something else? Not
viewable, manipulated by one finger, together with the retraction of wound
upwards by assistant, saw something that raised hope, still not very much forth
coming.
Anyway, able
to saw it at last; applied bob cocks and went for retrograde appendicectomy.
Turned my view to the enlarged right ovary, on holding it with allies forceps,
all watery fluid came out. Marsupialized and arrested all oozing.
Ohh,
relieved. At one time, was contemplating
to open the abdomen fully in lower right paramedian plane.
Every case
is a new case for a doctor. Appendicitis, both easy and difficult to diagnose;
and the same is true for appendicectomy too.
