Patterns of inflammatory lesions of the appendix in a Nigerian Tertiary Health Facility (original) (raw)
Related papers
Clinicopathological review of surgically removed appendix in Central Nigeria
Alexandria Journal of Medicine, 2014
Background: Acute appendicitis is a disease of the young presenting in children and early adolescents although no age group is exempt. It is the most common cause of acute surgical abdomen worldwide. This clinicopathological study aims to determine the various lesions of the surgically removed appendix in our centre and if any, changing trend in this lesion in our environment. Method: A retrospective study was undertaken to review the histopathology reports of all appendicectomy specimens submitted to the
Histopathological analysis of appendectomy specimens in Calabar, south –southern Nigeria
Background: Appendectomy is one of the commonest surgical intervention worldwide with a very high incidence in Nigeria. The various histologic patterns of these lesions are diverse with little information about this in this part of the country. Aim: To analyse various histologic pattern of appendectomy specimens received in University of Calabar teaching Hospital. Materials and Methods: This is an eleven year (1999-2009) retrospective study involving review of the histologic records of all patients with gastrointestinal lesions received in the Department of Pathology, UCTH. The patients' biodata and histologic diagnosis were retrieved. Analysis was done using simple statistical operation.
National Journal of Laboratory Medicine, 2019
Introduction: Acute appendicitis is the most common abdominal emergency and has remained an on going diagnostic challenge. Histopathologic studies are the gold standard for final diagnosis. Aim: To study the histopathological features of appendix and utility of Ultrasonography (USG) in diagnosis of appendicitis. Materials and Methods: A two-year retrospective study from 1st January 2016 to 31st December 2017 of 472 appendectomy cases. Demography, clinical findings, radiologic and laboratory studies, histopathology findings were analysed. Results: Among the 472 appendectomy cases 283 (59.95%) were males and 189 (40.04%) were female patients. Most of the patients presented in the 3rd decade. Mean age was 29.25± 15.09 years (median age-26). Most common histopathological finding was Acute Appendicitis with Perforation comprising of 187 cases (39.61%) followed by acute appendicitis comprising of 117 cases (24.78%). Unusual findings were tubercular appendicitis. Most common neoplasm was L...
Complicated appendicitis: experience from central region of Ghana
International Surgery Journal
Background: Acute appendicitis is a common surgical abdominal emergency. The aim of this study is to determine the incidence, presentation and immediate outcome of acute appendicitis in a new teaching hospital in Cape Coast.Methods: All patients who had surgery for acute appendicitis at the central regional Hospital, cape coast from 1st January 2011 to 25th October 2012 were retrospectively reviewed.Results: During the study period five hundred and four emergency surgical operations were performed. Abdominal emergency operations constituted 81.5% of these emergencies (411/504). Seventy-seven patients who had appendicectomy during the period constituted 18.7% of all abdominal emergencies. Seventy-six of the patients had requisite details for analysis and form the basis of this study. Appendicitis was seen more in the second and third decades of life with male preponderance. Thirty-one (40.3%) had complicated appendicitis (perforated/ ruptured appendicitis and gangrenous appendix). T...
Epidemiology of appendicitis in Northern Nigeria: A 10-year review
Sub-Saharan African Journal of Medicine, 2014
Background: The true incidence rate of appendicitis in Nigeria and the magnitude of appendicular fecaliths as a specific causal factor in appendicitis are unknown. Materials and Methods: A retrospective clinicopathologic study was conducted using the medical database of the Ahmadu Bello University teaching hospital, Zaria, northern Nigeria for the decade from 2001 to 2010. The National Population Census in Nigeria 2006 was used to estimate the standardized annual incidence of appendicitis in the locality. Pathologically confirmed specimens of appendicitis were analyzed against demographic data of the patient. Results: During the decade, there were a total of 382 cases with intraoperative diagnosis of appendicitis of which the diagnosis was confirmed pathologically in 373 cases. With a local population whose disease or specimens would most probably end up in this hospital pathology department estimated at 1,423,469 the standardized incidence rate of appendicitis was 2.6 per 100,000 per annum. In 354 (93%) out of the 382 specimens, fecaliths were identified and thought to be causally related to the disease in the individual case. Conclusion: Appendicitis is very uncommon in northern Nigeria and when it occurs, it is almost always caused by fecaliths.
A Histopathological Study of the Appendix after Surgical Resection
Scholars Journal of Applied Medical Sciences, 2021
Original Research Article 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 importance of routine histopathological examination of all appendectomy specimens after appendectomy.
Histopathological Evaluation of Lesions of Appendix - A Cross Sectional Study
Journal of Evidence Based Medicine and Healthcare, 2021
BACKGROUND Appendix is considered as a vestigial organ in medical history. But recent studies reveal its importance in immunological function. Appendicectomy is one of the most common surgeries performed and acute appendicitis being the most frequent pathology noted. Various less common pathologies like parasitic infestation, granuloma, diverticulum, neoplasms are also described. In our institute, we have seen an increased rate of acute appendicitis and a relative increase in neoplastic conditions. The purpose of this study was histopathological evaluation of lesions of appendix over a period of five years and its association with demographic data. METHODS This cross-sectional study included all specimens received in the department of pathology with primary pathology in appendix. Appendix removed as a part of other surgical procedures were excluded. Relevant clinical data, gross findings and histopathological diagnoses were retrieved from pathology records and computer databases and...
Routine Histopathological Examination of Appendix: The Practice That Cannot Be Ignored
https://www.ijhsr.org/IJHSR\_Vol.11\_Issue.4\_April2021/IJHSR-Abstract.06.html, 2021
Background: Acute appendicitis is a global disease that is usually caused by luminal obstruction with fecoliths. Aim: The aim of this study is to estimate the incidence of unusual findings in appendectomy specimens that can affect patient's morbidity and mortality. Methods and Material: This is a retrospective study of 340 appendectomies that were preformed from January 2018 to December 2019 at King Hamad University Hospital (KHUH). Histopathological reports were reviewed and final diagnosis, age and gender were recorded. Results: Of the 340 appendectomy specimens, acute appendicitis was the most prevalent finding 62.64% (and showed significant correlation with both genders P value <0.001). Unusual findings were seen in (8.49%) cases and the commonest unexpected finding was fibrous obliteration (4.11%) followed by carcinoid (1.76%). Conclusions: this study revealed that although majority of appendicectomy cases fall in the spectrum of inflammatory cases with low incidence of unusual findings, it is atmost importance to perform the histopathological examination as it still change the course of treatment and affect the overall prognosis of the patients.
Pathological findings in patients with acute appendicitis treated at the Cuban hospital in Qatar
2021
Background: the histological study of the appendix is the gold standard for diagnosing pathologies that simulate acute appendicitis. Objective: to characterize the pathologies associated or that simulate acute appendicitis, in a sample of patients treated at the Cuban hospital in Qatar, from January 2018 to December 2019. Methods: a descriptive, observational, cross-sectional and retrospective study was carried out with patients admitted to the emergency room of the aforementioned hospital, diagnosed with acute appendicitis, who underwent computed tomography (CT) of the abdomen, appendectomy and biopsy of the appendix, in the period of time declared in the objective. Results: in general, young patients were the most affected ones (the 21 to 30 age group with 40,54 % and the 31 to 40 age group with 35,13 %); the average age was 32,05 years with a standard deviation of 9,37. The main diagnosis was lymphoid hyperplasia; the largest group was that of Qatari nationality, followed by the ...