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The appendix is a small, finger-shaped pouch attached to the large intestine, specifically to the cecum, which is the beginning of the large intestine. Positioned in the lower right abdomen, the appendix has long been considered a vestigial organ, meaning it serves no apparent purpose in humans. However, recent research suggests that the appendix may play a role in the immune system, specifically in the storage of beneficial gut bacteria.
Despite its unclear function, the appendix can become inflamed and infected, a condition known as appendicitis. Appendicitis occurs when the opening of the appendix becomes blocked, usually by a small piece of stool, a foreign body, or, in some cases, by a tumor. The blockage can lead to bacterial overgrowth, inflammation, and swelling of the appendix. If left untreated, appendicitis can progress to a ruptured appendix, a potentially life-threatening condition that can lead to severe infection of the abdominal cavity.
Diagnosis of appendicitis typically involves a physical examination, blood tests, and imaging studies such as ultrasound or computed tomography (CT) scan. Treatment usually involves surgical removal of the appendix, a procedure known as appendectomy. Appendectomy is often performed laparoscopically, using small incisions and a camera to guide the surgeon. In some cases, an open appendectomy may be necessary, particularly if the appendix has ruptured or if laparoscopic surgery is not feasible.