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Fibrous obliteration of appendix6/15/2023 ![]() In our institute, we have seen an increased rate of acute appendicitis and a relative increase in neoplastic conditions. Various less common pathologies like parasitic infestation, granuloma, diverticulum, neoplasms are also described. Appendicectomy is one of the most common surgeries performed and acute appendicitis being the most frequent pathology noted. But recent studies reveal its importance in immunological function. Although surgery is the definitive treatment of both conditions, an appropriate diagnosis of diverticular disease before surgery is very important because of the association of appendiceal diverticular disease with neoplasm and other complications.īACKGROUND Appendix is considered as a vestigial organ in medical history. ![]() Diverticulosis of the appendix often is confused with acute or chronic appendicitis based on similar presenting symptoms and imaging studies. The patient was discharged two days later in optimal clinical condition. The histologic examination showed diverticulosis without evidence of inflammation. The removed appendix was 12 cm in length and had multiple diverticular protrusions along with it. Abdominal sonography did not show any evidence of acute appendicitis. In this study, a 43-year-old female with a history of right lower quadrant pain and anorexia represented abdominal tenderness and rebound tenderness in the physical examination and normal laboratory tests. Symptom and laboratory data of diverticular disease usually represent chronic inflammation. Hence the diagnostic accuracy of the surgeon is directly dependent on the surgeons’ expertise and there is no substitution for an experienced surgeon’s judgement.ĭiverticulosis of the appendix, as a rare and incident disorder, mimics acute or chronic appendicitis and is characterized by herniation of the appendiceal mucosa through the muscular wall. The surgeon’s clinical and operative findings have specificity of around 87.30% and 90.47% respectively. The histopathological studies revealed chronic inflammatory cells in 63% of the resected specimens, suggestive of chronic appendicitis and acute inflammatory cells in 37% of the specimens, suggestive of acute appendicitis.Conclusions: We conclude that the correlation of clinical findings, operative findings and the histopathological findings correlate with one another (p<0.001). A chi-square test was used for categorical data to find statistical significance.Results: Per operatively the appendix appeared non-inflamed in 57% of patients suggestive of chronic (recurrent) form and inflamed in 43% of patients suggestive of an acute form of appendicitis. Mean and SD were used for continuous data and for categorical data, frequency and percentages were calculated. Data pertaining to clinical, operative and histopathological findings were collected and tabulated. In spite of various scoring systems and appendectomy being the ultimate treatment, its timing remains still controversial especially in chronic and recurrent variants of appendicitis.Methods: A total of 100 consecutive cases of suspected appendicitis who were admitted investigated and treated at our centre were taken up for this observational study. Appendicitis consists of vast spectrum ranging from acute to chronic to recurrent forms however existence of recurrent and chronic appendicitis is still doubted by many. Background: Appendectomy is the most common abdominal surgery performed today.
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