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Clinicomorphological spectrum of Appendicectomy specimens

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Original Article

Author Details : R. Thamil Selvi, P. Koteswary, K. Sivakami, H. M. Prakash

Volume : 1, Issue : 3, Year : 2016

Article Page : 92-95

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Abstract

Introduction: Appendicitis is a very common surgical emergency and carries risk of 7% the diagnosis of appendicitis is largely clinical and appendicectomy is the treatment of choice. If there is any delay in diagnosing appendicitis which may lead to complications like perforated appendix, peritonitis, sepsis, increased morbidity and mortality.
Aims and Objectives: To study the morphological features and to correlate the clinical diagnosis with the histopathological diagnosis of the appendicectomy specimens.
Methods: All the appendicectomy specimens received at histopathology section of our department and SIMS Chellum Hospital were reviewed retrospectively over a period of 2 years from January 2013 to December 2014 and prospectively over a period of six months from January 2015 to June 2015 were included in this study.
Results: A total of 149 specimens were analysed. 88 (59%) were males and 61 (41%) females. The histopathological examination showed acute inflammation in 97 (65%), chronic inflammation in 43 (28.8%), Gangrenous appendicitis in 6 (4.0%) and granulomatous in 1 (0.6%), Parasites were found in 1 (0.6%) and tumor like lesions in 2 (1.3%), were also seen in appendix. Clinico-pathological correlation for acute appendicitis was 69%, chronic appendicitis was 29% and for others (2%).
Conclusion: Acute appendicitis was the most common histopathological finding encountered in our study. The malignant neoplasm seen here was mucinous adenocarcinoma but clinically presented as acute appendicitis. Therefore careful and systematic study of all the surgically removed appendicectomy specimens are very important.

Keywords: Appendicitis, Appendicectomy, Histopathology of appendix, Mucinous adenocarcinoma

How to cite : Selvi R T, Koteswary P, Sivakami K, Prakash H M, Clinicomorphological spectrum of Appendicectomy specimens. IP Arch Cytol Histopathol Res 2016;1(3):92-95

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