The cells may look immature, too. The blood tests help sort out whether the problem is in the ovaries or another part of the bowel, or is a general viral infection. These conditions cause similar symptoms, but not usually a higher white blood cell count. Occasionally a CT scan or ultrasound may be done to help with the diagnosis, but usually a physical exam is enough. Sometimes exploratory surgery must be done.
Some people get over an attack of appendicitis without having surgery.
However, they may later have episodes of chronic appendicitis or bowel blockages caused by scarring and adhesions, which are fibrous bands that weld organs and tissues together. Surgery to remove the appendix is called an appendectomy. Some people need antibiotics, too, to help avoid or cure infection. A ruptured appendix may require more extensive surgery. There is a slightly higher than normal risk of wound infections with appendectomy.