ruptured appendix and peritonitis

HI folks.

Just learned of my friends nephew who just had surgery for a ruptured appendix. The child (12 yrs old) is receiving IV antibiotics, morphine etc, after the appendectomy. Has been in hospital for 5 days, doc said he could be in for 1 week to 1mth.. doc stated it is second worst case he has seen. Does anybody have any info re outcomes of above condition.. Any reliable health info sites on the web that might be appropriate aids for the family?

Thanks
He will rpobably be in the hospital for at least two weeks. Remember what you learned in your anatomy class, the appendix is part of the GI tract, therefore intestine. One flora of the intestine is E.Coli which is normal there but can cause great problems if it gets into the abdomen from a perforation. He will need some heavy duty antibiotics for awhile. Also,how long does the doctor think that it was perforated for? What this child ill for a week or two before going to the doctor? Unfortunately, it happens alot at that age as they are usually quite shy and don't want to talk to their mother or father about that. As far as specifics outcomes, there are none to give the parents, just know that he is getting the proper treatment.

My apppendix ruptured with subsequent peritonitis when I was 10. I was in the hospital for 2 weeks and "lost" about 3-4 days. I was in ICU and nearly died I'm told, but obviously did OK with lots of IV antibiotics. That was 37 years ago, so I am betting this little guy will be alright, but I know what he is going through!

My hubby's appendix perf'd about 3 years ago. He was in the hospital for a total of two weeks and on home health with PICC line antibiotics for a month. He was 29 y/o at the time, great health...a former college athlete. We figure he was perforated about 1-2 days before receiving help (although we SOUGHT help prior to that...but that's another story). Kids are pretty resilient... I would note however that I was the patient's-wife-from-hell until they called in an infectious disease specialist on my hubby. Glad I was demanding -- as that doc changed some meds around, etc. - and that's when my husband turned the corner and started improving. Okay...side story about the "bad" nurse (this is part of the reason I became a nurse - I figured I could do better than this): Hubby was being discharged (yes, discharged) two-days post-appy (and he had ruptured...surgeon said appendix was gangrenous). Hubby kept telling nurse he was not feeling well and didn't think he should go home. Nurse's therapeutic response? "Insurance won't pay for it if you stay here." I wondered why he has no script for home antibiotics and nurse's response: "If the doctor didn't write the order, I can't give you any." Duh! Perhaps you could call him? Husband was re-admitted three days later with two softball-sized abcesses in his abdomen, requiring major surgery and another 12 days in the hospital.

I had peritonitis back in 1972....horribly ill...but made it home. There were a couple of days where everything was touch and go.It's very serious but the odds are your nephew will make it. Good luck!

My husband had appendicitis and an appendix that ruptured when he was 20 years old. That was about 10 years ago.I believe he had to stay in the hospital a week and a half. He has an extremely large incision compared to what one would have with an unproblematic appendectomy. When he left the hospital they only closed the incision about 2/3 of the way and didn't completely close it for about 2 weeks once he was d/c. Poor guy, they told him he was supposed to clean around the incisional area including the open portion but no one told him how. He spent 2 weeks liberally pouring Hydrogen Peroxide onto and into the site. It wasn't until he went for a post op. examination that the doc. looked at the incision and asked why the area was so tender and red that they realized what he ahd been doing.On the plus side, he didn't have any complications after it was removed although he still says the incisional area is tender if he were to really bump it or get hit in that area.

Good grief, PJMommy! I would say there was negligence on the part of the doctor and the nurse, the doctor for discharging too soon and not prescribing antibiotics and the nurse for not getting on the phone to the doctor. I had a ruptured appy in 2000 and it was their policy to keep you in the hospital for 3-4 days or longer if the WBC was still up. Did they do a WBC on your hubby prior to discharge? I was sent home on antibiotics and your hubby should have been too.

Happened to me. Appendix ruptured at work, did not think it was appendix, thought it was food poisoning, went home and did not return to ER for 3 days. BIG INFECTION. Was rushed to OR, surgeon was an older fellow who used over 10,000cc of gent flush to wash abdominal cavity out. Inserted NG and was put in private room and daughter took care of me. Most importantly, daughter made me do c,t,db every hour to start. Hurt but helped,She did my leg lifts and ankle rotations for 1st day, then I did them. Was in hospital 1 week. Dr stated that daughter was key to early discharge. Did "old fashioned" nursing and that helped me.

Originally posted by K O'Malley Good grief, PJMommy! I would say there was negligence on the part of the doctor and the nurse, the doctor for discharging too soon and not prescribing antibiotics and the nurse for not getting on the phone to the doctor. I had a ruptured appy in 2000 and it was their policy to keep you in the hospital for 3-4 days or longer if the WBC was still up. Did they do a WBC on your hubby prior to discharge? I was sent home on antibiotics and your hubby should have been too.

Hi.Same thing happened to my son 2 1/2 years ago when he was 12. Appendix ruptured. Prior to this, he had abdominal pain for about 2 days. Took him to Doc and they did an x-ray and blood tests. Told us it was gas. Recommended anti-gas medicine. Brought him home and he progressively got worse. I called Doc again and said he was not getting any better. She recommended a rectal suppository. (I read after-the-fact that you NEVER give a rectal suppository if appendicitis is suspected as this will cause the appendix to rupture) Gave him the suppos, and an hour later he was SO SICK! Vomiting, high fever......(I suspect it had ruptured at this point.) Took him to ER. Fever was 104.4 degrees.Had appendectomy. Was at hospital 4 days on IV antibiotics and went home with low-grade temp and oral antibiotics.8 days later, was SICK all over again. Took him back to DR. He immediately had CT scan and was diagnosed with an abdominal abcess. Was readmitted with high fever and put on IV antibiotics. Got progressively worse over the course of 24 hours. My sister is a registered nurse and she recommended that I get a second opinion. FINALLY, called in a second opinion. (Original surgeon was going to leave him on IV antibiotics "over the weekend" to see how he did) In the meantime, he is being placed on cooling blankets and nothing would bring down his high fever)Second opinion Doc came in and evaluated him and recommended that drains be put in his abdomen to drain infection a.s.a.p. Put drains in the next day. Was placed on double pediatric dose of morphine (with which he hallucinated while on it.) and in severe pain. BUT, fever did immediately go down and also was put back on IV antibiotics. Second opinion Doc said that fecal material was found in the peritoneom and that is what caused the infection, (abcess). The first surgeon was Pis...ed that we called in another Doctor. Had very poor bedside manner and also conveniently left "fecal material" information out of his report. Hmmmmm................He spent an additional 15 days there and was sent home on oral antibiotics for which he took for 6 weeks!Was a nightmarish experience, but I am grateful to report that he is now 14 and doing very well!My advice to your friend is to be bold and ASK QUESTIONS! Talk to people who are in the medical field. Check the internet for information. Be proactive! Get copies of his medical records, if you need them. Don't let fear get in the way. Remember, this is this child's LIFE! Best wishes to this child for a speedy recovery.

Thanks for the information everyone!

My son in law has just 3 days ago undergone a ruptured appendix with the fecal matter and pus and the blood work not good. He is experiencing fluid in his lungs so they took him off IV for a bit and got him up to walk around as his tummy is extended. They say day 5 and 7 are days to pass by and look forward to improvement, else then worry. What happens after this is 5 and 7 look bad??? Any answers I could give my daughter?

I was 64 when my appy ruptured with perotonitis. Yuk. I wasn't supposed to throw up due to the e-coli invasion into my system and was given IV pramin to prevent it. But one dark night, all the green, horrid stuff that looked like slime sheets from the rain forest came out and out and out. If I were my nurse, I would have left me with it. But she didn't. I managed to aim it at the toilet so I could flush the mess. I gargled and rinsed so that perhaps the worse would not happen--have the e-coli infect my esophagus. It didn't.I was in the hosp for 8 days. My incision got infected, and the nurse taught my daughter how to clean my wound and change my dressing, and they sent us home with extra wash and dressings and had me continue on cipro. The nurses were wonderful and cooperative on the ward in our local Israeli hospital. Cipro is awful and sickening, but it did the job.However, I understood (later) that it was protocol in most Israeli hospitals to automatically inject Clexan into women over 50 after abdominal surgery. I did not get that. No one ever discussed pulmonary embolism with me and what to watch for. Now that I know the preliminary symptoms after nearly dying at home, I realize that they started right after surgery, and they were undetected. I could barely get out of bed much less exercise on my own. I felt weak and lazy for not being able to do what I should have been able to do with just a bit of effort. I am never afraid to push myself, but no one on staff was "talking" with me about what I should be doing and why outside of exercising my lungs with that cute ball machine. I was discharged and happy to go home. After a week at home, I was gasping for breath every time I moved. A nurse friend of mine visited and made sure I got immediately to the hospital. I was in(cardiac) intensive care for three days then in a private room for 5 more, where I was attended night and day by my daughter and rounds of friends who even slept next to my bed at night on a cot. Standing up or lying flat would bring on an attack, so I slept almost in a sitting position and could not move otherwise. If you've ever had "massive and multiple" pulmonary embolisms, you know what these attacks are like. By the time I went home, I was up and about by myself. but the surgeon had also nicked my femoral nerve, and my thigh is still numb but not prickly and hot anymore, SEVEN months later. The nerve is redirecting itself, I imagine, and now it's just an annoyance rather than making me sit after standing or walking for an hour. Most things feel pretty normal considering. Is anyone ever totally normal at my age after surgery?Once in cardiac ICU, I had an attack in the middle of the night when I could not breathe without bringing on the most severe diaphragmatic cramping--like labor pains that just intensified and never stopped. The nurses didn't know what to do even when I could not draw a breath. I purposed not to panic and just THINK. Then it occurred to me (and I truly believe it was God's wisdom) to treat it like intense labor and do short panting breaths with my upper chest. My focus was intense--to save my LIFE--and the nurses were yelling at me, like "What are you doing?" All I could gasp was the word "focus." I called them the "street nurses" like they were called in off the street to act as nurses. I was on a low level of oxy in my nose, so every little pant was helped along a bit. After that, I was afraid to go to sleep as, by this time, I was essentially treating myself. When the "real" nurses came in on morning duty, the night nurses were thrown off the ward, not just excused for the day but thrown out for all that they didn't do for me the night before. Does anyone know what that kind of attack that was? When the doctor examined me--looked at my age, then back at me--he said that most women my age would not have survived the night. I am on cumadin for a year, and have been told that the embolisms may still be there but they would be asymptomatic. I don't know if I believe them, but I sure would like to be off the meds.