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It is generally accepted that normal appendix does not exceed 6 mm in maximal outer diameter (MOD), which is the most important diagnostic criterion to exclude acute appendicitis.
NORMAL APPENDIX The appendix is a worm-like extension of the cecum and, for this reason, has been called the vermiform appendix. The average length of the appendix is 8-10 cm (range 2-20 cm).
The attachment of the base of the appendix to the caecum remains constant, whereas the tip can be found in a para-colic/para-caecal (11 oclock), retrocaecal (12 oclock), splenic (2 oclock) position, promontoric (3 oclock), pelvic (4 oclock), midinguinal/subcaecal (6 oclock) position, pre-ileal and post-ileal
It happens when the inside of your appendix gets filled with something that causes it to swell, such as mucus, stool, or parasites. Most cases of appendicitis happen between ages 10 and 30. It nearly always causes pain in the belly, but each person may have different symptoms.
In children, appendicitis is most common after age 10. Overall, youre more likely to get the condition if youre between the ages of 10 and 30.
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Inflamed appendix - can be visualized in 80-90 % of cases. There is overlap between the diameter of the normal and inflamed appendix: Cut-off point of 7 mms - 7 % of appendices is normal. Cut-off point of 6 mms - 27 % of appendices is normal.
A normal appendix with air or contrast material distension is reported to have a transverse diameter of up to 11 mm [33], [34], [38]. In this study, more than 42% of patients had an appendiceal diameter greater than 6 mm [4].

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