12 doctors weighed in:
Is a ruptured appendix always fatal?
12 doctors weighed in

Dr. Barry Rosen
Surgery
7 doctors agree
In brief: No, though it can be
When the appendix ruptures, bacteria from the intestinal tract can enter the abdominal cavity, causing severe inflammation and the spread of bacteria into the bloodstream. Sometimes, the hole in the appendix is "band-aided" closed by an adjacent organ, limiting the spread of infection.
In rare cases, the body can heal this without medical intervention. Since we cannot predict this, we rx all.

In brief: No, though it can be
When the appendix ruptures, bacteria from the intestinal tract can enter the abdominal cavity, causing severe inflammation and the spread of bacteria into the bloodstream. Sometimes, the hole in the appendix is "band-aided" closed by an adjacent organ, limiting the spread of infection.
In rare cases, the body can heal this without medical intervention. Since we cannot predict this, we rx all.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
1 doctor agrees
In brief: No.
At least in developed countries the numbers are much smaller than a hundred years ago.
Still, it can happen in older patients where other diseases may hide the diagnosis from doctors until it's too late.

In brief: No.
At least in developed countries the numbers are much smaller than a hundred years ago.
Still, it can happen in older patients where other diseases may hide the diagnosis from doctors until it's too late.
Dr. Erik Borncamp
Dr. Erik Borncamp
Thank
Dr. David Buchin
Bariatrics
1 doctor agrees
In brief: Almost never
The actual death rate for ruptured appendicitis is 0.
6%. Extremely rare. Non-perforated appendicitis carries a 0.1% death rate. The use of antibiotics and advanced surgical procedures has definitely decreased the death rate from appendicitis.

In brief: Almost never
The actual death rate for ruptured appendicitis is 0.
6%. Extremely rare. Non-perforated appendicitis carries a 0.1% death rate. The use of antibiotics and advanced surgical procedures has definitely decreased the death rate from appendicitis.
Dr. David Buchin
Dr. David Buchin
Thank
Dr. Pavel Conovalciuc
Family Medicine
In brief: Unless treated
Unless treated by immediate surgical interventions and antibiotics afterwards, it is.

In brief: Unless treated
Unless treated by immediate surgical interventions and antibiotics afterwards, it is.
Dr. Pavel Conovalciuc
Dr. Pavel Conovalciuc
Thank
1 comment
Dr. Barry Rosen
Contrary to popular opinion, ruptured appendicitis is rarely fatal. Usually, people do very well following prompt surgical attention and antibiotics. Every once in a while, a patient will come in with a contained-perforation, often with an abscess. We have learned that it is safest to treat these people with abscess drainage and antibiotics, and delay surgery for months (if ever).
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