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Abstract (albhugh aauta appendicit1a is a frequent suxgioal enoounteacd 1t is usuallJ lett to most eurg1o1 staf~ t (l deal ’IIIith it I Ever,Y ahl)uJ..Q be tal:r.en all 1t r a mmerit t aDd one liIhl)uld alws.:ra seeka advioe Gf eo aatli’llr lIlember of the sl..ttgioa.l ata..f.f a.t the beginD1.ng IY.faDS complj.oatioll either during the ~8ration or 1D ~ post op~rat1ve pe~iDd. Experieuae is Deeded to deal with oocp11~atiou ~eBultiug f~om aoute appendio1.ti$, A.lthougb complication seems t.o be simple but if left alonQ it ~ lead ~o a serious t~oub1e+ Than is ne definit uet101og:Laal facto::r for aoube appecdioiti. El, However a.natomioal factors, obat:J:’uctioll of the lumen. tamilial BU9Qept1bility, ~ace, dl~t aDd trauma all we~e taken into cHlllS1dltratioD. IHI cont:t’ibut<U’3 faotors fo~ such acndit10n • It wail guggested that the removal of the appalJ.dix. wa<l assooiated with an inn~eaa&d expectation of the development of mal1gJlallo31 but 0.0 oonneotLoo. between appelldi;::ectom.y and the ~evelcplD.8nt of a ccncez oould b~ deBoe~ned. Iu appendioitiB wore than one baoterial ~traiD cae be deteoted. The iDi lammaliox;)’ prolle aa in aaut8 append.l.o it b is prob~b l..Y (1.39) lo<:al.ized or gBlli:Irali.zed peritonitis can occur depending on IlUUJ..)I faot ors as dmati ont bod)’ ~ aiatant. vLrulance t and the prediBpo~ing tact~. Diagnosis of aoute appendio1tia can be J:eaob.ed throu!;h the ”lin1.c81 picture and invntigatioDS of Ilatlded f Howewr. the~e i~ a ve~y lon~ list of actua conditions that come in differential di~~nosia with Rcut. appendicitis ~ost ot the5C eases r~ujre operative ’thm”av,y,if they do not at least they 8.1’8 uot Us uallJ’ made wo.:cae 0;)’ an IUP1DJ:a.too=~operation. But;; meaioal dlseaBee are important ot be diffe~entiated as DO bellS£it oomee to the pa.tient it all ope:x:ation ie perf’ or\D.0d. Ree;ar(l matJ.a.E;ementat different 08B88 with a:ppeD.d~i.tli’ there 111~omplete llt;:J!eemant in a.ll texts. That calsaioo.l appotndeotomy is the Holtl l..i.n8 of trilalilllant and it must be doue as 8al’ly as poasible. There axe few complioations of acute appenaioibia a8 long BJ;1 the infeotion is conta.ined within the appel1d1..:i:~ but once th”, iD£e(ltiue; bacteria have pePoi;ltJ:alied the peri t onea.l appelldic-”IJ,.a.r surface at’ have invaded the .regiOl:lJ;lc.li;rculation, <l.l1J’ o~ o;r Illor~of <I. aer1as o.l aal’il)us camp11aatj.oDBmas develop. ’l’hWl the erapM-sia has he;;ln rilihtlJ’ plaoed on ~aJ!l,y removal oi’ the in£law.ed appendi.x:~ be:l:cI’1iI pertDJ:ation has ocIlUZ’red, all the |