A Cross Sectional Study of the Position of Appendix in South Indian Population, Comparison with Western Population, and Its Diagnostic Dilemma


Balamurugan Chidambaram1, Vinoth Rajasekaran2, Vasanth Malaiyaperumal Selvam3, Giridharan Shanmugam4

Appendicitis is a common clinical condition but sometimes diagnosis is delayed
when appendix is found at a rare location. The present study was conducted to
find out various clinical presentations of appendicitis, to evaluate its various
postions in South Indian population and compare the same with western
The cross-sectional study was conducted among a total of 1000 patients (631
males and 369 females) taken from Government Stanley Medical College and
Hospital, Tamil Nadu, India, from 2018 to 2019 with an age range of 18 to > 60
years of both sexes. The clinical symptoms were recorded, demographic details
were collected.
The present study included 631 (63.1%) male and 369 (36.9%) female patients
including the age category 18 to > 60 years old patients. The anatomical locations
of the appendix which were as follows: retrocecal in 860 individuals (86%), pelvic
in 110 patients (11%), postileal in 10 (10%), preileal in 10 (10%), subhepatic in
8 individuals (0.8%), paracolic and subcaecal in 1 person respectively (0.1%). In
our study, the mean distribution of gender by age in the study population was
157.75 males and 92.25 females. Length of appendix > 119 mm was found in total
individuals (32.9%) i.e., maximum than other studies. These results showed an
extreme statistically significant P value.
The present study successfully compared south Indian population with western
population. The clinical symptoms were recorded, details of demography, age and
sex were collected successfully.