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Conclusions: Laparoscopy achieves early and accurate diagnosis of AA and can reduce the incidence of perforated appendicitis. Abdominal CT remains a valuable diagnostic tool. DL is useful in the early stages of the diagnostic work-up and avoids unnecessary exposure to radiation of the abdomen and pelvis in young women.

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Sub-Acute Appendicitis: Some of the episodes of acute appendicitis tend to subside spontaneously before reaching the acute stage. Such cases are termed as sub-acute appendicitis. This is a probable recurrent condition.. In the early stages of appendicitis, the appendix grossly appears edematous with dilation of blood vessels. Appendicitis demonstrates neutrophil infiltrate of the mucosal and muscularis layers. Later, the appendiceal wall grossly thickens, the lumen appears dilated, a serosal exudate may seen, mucosal necrosis may be observed microscopically.

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