PROMOTING ACCESS TO AFRICAN RESEARCH

Annals of Biomedical Sciences

Log in or Register to get access to full text downloads.

Remember me or Register



DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Pathologic diagnoses of appendectomy specimens: a 10-year review.

M.O Udoh, I. Obahiagbon

Abstract


Aims and objectives: Acute appendicitis is one of the most common indications for emergency surgery. A retrospective study was performed to see the pattern of histopathologic diagnoses in appendectomy specimens, their demographics, and the rate of negative appendectomy.
Materials and methods: Records of resected appendices with a clinical diagnosis of acute appendicitis submitted to histopathology department of University of Benin Teaching Hospital from January 2005 to December 2014 were reviewed.
Results: Out of the 2187 appendices, Acute appendicitis (43.5%), Lymphoid hyperplasia
(20.8%) and Peri-appendicitis (10.9%) were the most common findings. Chronic obliterative appendicitis was 1.1%; parasites were present in 0.5%; and carcinoid tumor in 0.1%. Peak age for acute appendicitis was the third decade in both sexes. Perforation rate was 1.4%. Negative appendectomy rate was 22.3%; it was higher in females than males.
Conclusion: Histopathological examination of the appendix may reveal unsuspected and sometimes sinister pathology besides acute inflamation. The use of diagnostic laparoscopy before appendectomy may help reduce negative appendectomy rate, while maintaining a low perforation rate.
KEY WORDS: Appendectomy, appendicitis, appendix, histopathology.




AJOL African Journals Online