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. 2020 Nov 6;117(45):764–774. doi: 10.3238/arztebl.2020.0764

Table 1. Overview of critieria for uncomplicated vs. complicated appendicitis, adapted from those of the European Association of Endoscopic Surgery (EAES), 2016 (12), and of diagnostic measures in suspected acute appendicitis.

Uncomplicated Complicated
Criteria for uncomplicated vs. complicated appendicitis
Inflammation + +
Gangrene +
Phlegmon +
Perityphlitic abscess +
Free fluid +
Perforation +
Diagnostic measures
History + +
Physical examination, including appendicitis pressure points + +
Digital rectal examination
Laboratory tests + +
Body temperature measurement + +
Urine test strip and pregnancy test*1 + +
Gynecological consultation ± ±
Abdominal ultrasonography*2 + +
Computed tomography ±
Magnetic resonance imaging ±

+ yes; - no; ± possible

Complicated appendicitis is present, by definition, if any criterion in addition to inflammation is met.

*1 In female patients of child-bearing age; *2 method of first choice.