DOI: http://dx.doi.org/10.18203/2349-2902.isj20194051

Clinicopathological correlation of acute appendicitis undergoing emergency appendicectomy in a tertiary care hospital of Gujarat: a retrospective study

Mrugesh Chudasama, Pallav Patel

Abstract


Background: Acute appendicitis is acute inflammation and infection of the vermiform appendix, which is most commonly referred to simply as the appendix. The aim of this study was to determine the presenting pattern of acute appendicitis and to review the pathological diagnosis.

Methods: This retrospective study was conducted in the general surgery department at tertiary care institute of Gujarat for the period of one year. One hundred patients who were attending department of surgery diagnosed as acute appendicitis were selected for the study. Patient demographics, clinical features, operative findings and histology results were recorded on a special patient proforma.

Results: The most common presenting complaints were abdominal pain (n=100), nausea (n=54), vomiting (n=80) and diarrhoea (n=7). As for clinical signs 100% of the patients in this study had some degree of right iliac fossa tenderness. Open appendicectomy was performed in 62% of the patients and laparoscopic appendicectomy in 38% of the patients. 66% of the patients presented within 24 hours of the onset of symptoms whereas 28% presented 24-48 hours after the onset of symptoms.

Conclusions: Diagnosis of acute appendicitis obvious based on strongly positive clinical presentation. Present study shows that acute appendicitis in India is a disease of young males. On further sub-classification of acute appendicitis, uncomplicated acute appendicitis seems to be the most common. Delayed presentation is associated with greater morbidity. 


Keywords


Abdominal pain, Appendicitis, Gujarat, Morbidity

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References


Al-Azizz SA, Mustafa FA, Hussein HF, Majed SS. Study The Parasitic Reasons Which Cause Appendicitis At Basrah City. Egypt J Exp Biol (Zool). 2012;8(2):409–14.

Wray CJ, Kao LS, Millas SG, Tsao K, Ko TC. Acute appendicitis: controversies in diagnosis and management. Curr Probl Surg. 2013;50:54-86.

Chang S, Chan P. Recurrent appendicitis as a cause of recurrent right iliac fossa pain. Singapore Med J. 2004;45:6-8.

Willemsen PJ, Hoorntje LE, Eddes E-H, Ploeg RJ. The need for interval appendectomy after resolution of an appendiceal mass questioned. Digestive Surg. 2002;19:216-22.

Murdie W. Intra‐abdominal torsion of an appendix epiploica. Br J Surg. 1953;41:290-5.

Barber M, McLaren J, Rainey J. Recurrent appendicitis. Br J Surg. 1997;84:110-2.

Safaei M, Moeinei L, Rasti M. Recurrent abdominal pain and chronic appendicitis. J Res Med Sci. 2004;9:11-4.

Jeanmonod R, Tomassi M, Mayer D. Case Studies in Emergency Medicine. Cambridge University Press; 2010.

Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5):910-25.

Singhal R, Angmo N, Somaiah N, Majumdar H, Chaturvedi KU. A retrospective review of the histopathology and clinicopathologic correlates of appendices removed from patients of acute appendicitis. Minerva Chirurgica. 2007;62(1):11-8.

Colson M, Skinner KA, Punnington G. High negative appendicectomy rates are no longer acceptable. Am J Surg. 1997;174:723–6.

Dey S, Mohanta PK, Baruah AK, Hhraga B, Bhutia KL, Singh VK. Alvarado Scoring in acute Appendicitis- a Clinicopathological Correlation. Indian J Surg. 2010;72(4):290-4.