Complications

There are several complications of acute appendicitis, including:

1. perforation: as the amount of pus in the appendix increases and the appendix caannot withstand the pressure , it will perforate which means the hole is formed in the inflamed appendix
2. wound infection
3. appendix mass: omentum and small bowel adhere to the appendix and it is represented with fever and a palpable mass
4. appendix abscess
5. suppurative peritonitis: if the infected appendix ruptured, it will releases the infection organisms into peritoneum and lad to peritonitis. If severe, it can cause hemorrhage and lead to hypovolemic shock.

Other than acute complications above,pelvic abscess, pylephlebitis with thrombosis of portal venous drainage, paralytic ileus, subphrenic abscess and septicemia also the complications of acute appendicitis.

There are also long-term complications including intestinal obstruction that caused by adhesions.in the pregnancy cases, maternal mortality is very low in acute appendicitis but increases to 4% with perforation in late pregnancy.fetal mortality is less than 1.5% but increases to 20-35% of the perforation case.