Abstract

SHOULD EVERY APPENDECECTOMY SPECIMEN BE SUBJECTED TO HISTOPATHOLOGICAL EXAMINATION? A RETROSPECTIVE STUDY OF HISTOLOGICAL FINDINGS IN APPENDICECTOMY SPECIMENS

Author(s): Shahanuma Shaik1, Nirmala Mysore Jayakumar2, Udaya Kumar Manikyam3, Rajendra Naidu4

BACKGROUND
Appendicitis is one of the commonest surgical emergencies with a lifetime risk of 7
8%. The append i cectomy specimens operated
upon clinically suspected appendicitis often appear normal on gross examination but histopathological evaluation may reveal a
diverse underlying pathology. Therefore for accurate diagnosis, histopathological examination of all append i cectomy specimens
is mandatory.
MATERIALS AND METHODS
A retrospective study of 17
5 append i cectomy cases operated over a period of two years The clinical data and histopathological
reports were reviewed and various histopathological findings are categori s ed.
RESULTS
Out of the total 175 append
i cectomies, 155 emergency append i cectomy c ases were included in the study while 20 cases of
incidental append i ce c tomy were excluded. The peak incidence was found in the 2 nd and 3 rd decades with male predominance.
Among the 155 specimens 96.8% had histological features of appendicitis and 1.9% we re normal appendix. The unusual
histopathological findings were C arcinoid tumour and Enterobius vermicularis.
CONCLUSION
The definitive diagnoses of appendicitis as well as the unusual incidental findings that
were missed intraoperatively are
established by histopathological examination. The study supports the histological examination of all resected append i cectomy
specimens.
KEYWORDS
Appendix; Appendicitis; Append
i cectomy specimens ; Histopathological findings