Original article / research
Histopathological Study of Appendicectomy Specimens in a Tertiary Care Hospital of Hilly Region in South Western India
W/O Dr Chengappa ‘Lake View’, # 121, Block 8, Murnad Road, Chickpet,
Virajpet, Karnataka, India.
Introduction: Appendicitis is the most common emergency abdominal surgery done in the world. Incidence of appendicitis currently is 10 per 100000 population and the rate is increasing in India and other developing countries due to shift in eating habits towards western diet. Therefore, histopathological examination stays the gold standard method of choice for confirmation of appendicitis, hence this study was undertaken.
Aim: Analyse the histopathological diagnosis in all the patients who underwent appendicectomy in the hospital.
Materials and Methods: This is a cross-sectional hospital record based study of two years duration from January 2017 to December 2018, conducted in the Department of Pathology. All the patients who were treated by appendicectomy with clinical diagnosis of appendiceal diseases were included in the study. Patients admitted with the cause of acute abdomen other than appendicitis were excluded from the study. All the appendicectomy specimens were processed and histopathological diagnosis was reported by pathologist.
Results: A total of 348 specimens were undertaken for histopathological examination. There were 224 (64.36%) females and 124 (35.64%) male patients with female to male ratio of 1.8:1. All patients were clinically diagnosed as having appendicitis based on the physical and laboratory examination. Histopathological examination revealed that the maximum number of appendicectomies were done in the age group of 11 to 20 years. Histopathological examination done showed the following diagnosis in patients: acute appendicitis, chronic appendicitis, acute suppurative appendicitis with periappendicitis, acute suppurative appendicitis. The other histopathological diagnosis were eosinophilic appendicitis, gangrenous appendicitis, granulomatous appendicitis, appendiceal mucocele, acute or chronic appendicitis, enterobius vermicularis infestation, carcinoid and metastatic adenocarcinoma.
Conclusion: An accurate macroscopic assessment is difficult intra-operatively which emphasize the importance to send all appendicectomy specimens for routine histopathological examination. Final diagnosis of appendicectomy is made only after histopathology.
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