DOI: 10.36347/sjams.2021.v09i03.017

Pages: 381-384

Introduction: Acute appendicitis is one of the most common causes of acute abdomen that demands emergency surgery. It is a clinical condition with an ongoing diagnostic challenge. Sometimes grossly normal-appearing appendix, removed from patients with suspected acute appendicitis, on histopathological examination may reveal a more serious underlying pathology. Hence, histopathological studies form the gold standard for diagnosis of acute appendicitis. Faecoliths are the usual cause of obstruction, though there are many other causes, ranging from inflammatory conditions to malignancies. Aim: To study histopathological patterns of appendicitis in all the patients who underwent appendicectomy at our institution to correlate with the clinical diagnosis. Materials and Method: This is a study of 460 appendicectomies carried out at Sylhet Women’s Medical College and Hospital during a period of 1year from August 2017 to July 2018. Clinical data was collected from patients and corresponding appendicectomy specimens were submitted to histopathology department of Sylhet Women’s Medical College and were processed routinely. Sections obtained were studied to determine various histopathological patterns in appendicectomy specimens. Results: A total of 460 specimens were analyzed. 276(60%) were females and 184(40%) were males. The histopathological examination showed acute appendicitis (69.18%), chronic appendicitis (8.48%), acute suppurative appendicitis (8.07%), eosinophilic appendicitis (2.83%), and carcinoid tumor (1.08%), and parasitic infestation (1.40%), mucocele of appendix (0.8%). Negative appendiectomy rate was found to be (8.70%). Conclusion: Appendicities has a peak incidence in second and third decade of life. Most of the cases in this study were diagnosed with usual features of appendicitis, though a few of them were essential incidental diagnoses which were missed preoperatively or intraoperatively. These important incidental diagnoses undeniably support the .......