Exceptionally rare. 99.9% of the time, inflammation of the appendix will lead to rupture within 2-4 days if left untreated. "chronic" appendicitis represents the very rare patient whose appendicitis resolves without treatment, only to recur at a later time. Nevertheless, if i were to evaluate someone with chronic abdominal pain, this would be very low on my "differential diagnosis".
Yes. It can especially if you are middle aged or older. What has happened is you have had small repeated infections, and now have a chronic condition. It isn't the most common presentation, but can happen.
No. Appendicitis is not chronic. It is possible to have chronic irritation to the appendix, but it is not a chronic infection. If infected, the appendix is removed. However, even after an appendectomy, it is possible to get appendicitis again. Usually a little stump of the appendix is left and this can, rarely, get infected again.
Prob not effectively. When appendix-a small sac off the intestine-becomes infected, the opening may be plugged. Then infection fighting cells, & waste products, accumulate. If this goes on for a long time (chronic) scar tissue can also encapsulate the diseased appendix. All this leads to an non-draining pocket of infection & an inadequate blood supply to transport antibiotics to the site to work. Read more...