Skip to main content

Table 1 Diagnostic criteria of CA (Complicated Appendicitis) and UA (Uncomplicated Appendicitis)

From: Development of a nomogram for the prediction of complicated appendicitis during pregnancy

 

Macroscopic appearances

Microscopic appearances

Normal appendix

 Normal underlying pathology

No visible changes

Absence of any abnormality

 Acute intraluminal inflammation

No visible changes

Luminal neutrophils only with no mucosal abnormality

 Acute mucosal/submucosal inflammation

No visible changes

Mucosal or submucosal neutrophils and/or ulceration

Simple, non-perforated appendicitis

 Suppurative/phlegmonous

Congestion, colour changes, increased diameter, exudate, pus

Transmural inflammation, ulceration, or thrombosis, with or without extramural pus

Complex appendicitis

 Gangrenous

Friable appendix with purple, green, or black colour changes

Transmural inflammation with necrosis

 Perforated

Visible perforation

Perforation; not always visible in microscope

 Abscess (pelvic/abdominal)

Mass found during examination or abscess seen on preoperative imaging; or abscess found at surgery

Transmural inflammation with pus with or without perforation