Since usual signs and symptoms of appendicitis may be diminished, atypical or absent in the elderly, there could be a delay in diagnosis and treatment of appendix, which leads to greater chances for appendix perforation or rupture.
Patients with ruptured appendix have longer hospital stay, because a life threatening complication, a generalized peritonitis often develops.
This complication is followed with another known as paralytic ileus, or bowels obstruction.
Therapy for diffuse peritonitis, includes correction of the underlying cause, administration of systemic antibiotics, and supportive therapy to prevent or limit secondary complications due to organ system failure.
It is a serious condition with high mortality rates.