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Analysis Study Research Paper | Pathology | India | Volume 12 Issue 2, February 2023
A Histomorphological Study of Various Appendicectomy Specimens, in Correlation to Age, Sex and Clinical Diagnosis of the Patient
Dr. Hassan Sona Rai | Dr. Rakshatha Nayak | Dr Ramadas Nayak
Abstract: Introduction: Acute appendicitis accounts for one of the most common conditions that demand emergency operation. Clinically it is a diagnostic challenge. Grossly a normal appearing appendix operated is suspected of acute appendicitis on histopathological diagnosis. Hence histopathological study is the gold standard for diagnosis of acute appendicitis. Most common cause of obstruction in appendix is faecoliths followed by inflammatory conditions and malignancies. Aim: To study histopathological patterns in all appendicetomy specimens in a duration of three years in correlation to age, sex and clinical diagnosis of the patient. Materials and Method: This is a retrospective study of 200 appendicectomies done in Yenepoya Medical College and Hospital, Deralakatte, Mangalore during a period of three years from January 2013 to January 2016. Sections were studied and analysed for various histopathological patterns in Department of Pathology, Yenepoya Medical College, Mangalore. Results: A total of 200 specimens were analyzed.147 (73.5%) were males and 53 (26.5%) were females. The histopathological examination showed acute appendicitis (47%), chronic appendicitis (29.5%), acute suppurative appendicitis (8.5%), eosinophilic appendicitis (4.5%), gangrenous appendicitis (3.5%), perforated appendix (1%), enterobius vermicularis (0.5%), carcinoid (0.5%), negative appdicetomy (5%). Conclusion: Incidence of appendicitis is high in adolescents and young adults and slightly higher in females. Majority of the cases were diagnosed with the usual features of appendicitis, though a few of them were essential incidental diagnoses which were missed preoperatively or intraoperatively.
Keywords: Appendicetomy, faecoliths, patterns
Edition: Volume 12 Issue 2, February 2023,
Pages: 504 - 508