HISTOPATHOLOGICAL FINDINGS IN CLINICALLY DIAGNOSED ACUTE APPENDICITIS PATIENTS IN TERTIARY CARE HOSPITAL OF PESHAWAR.
Keywords:Appendicitis, Appendectomy, Appendix Neoplasms, Pathology.
OBJECTIVE: To find out unexpected histopathology in patient undergoing appendectomy for clinically
diagnosed appendicitis and to determine the frequency of biopsy proven appendicitis in patient undergoing
appendectomy for clinically diagnosed appendicitis. STUDY DESIGN: Retrospective Cross-sectional
study. PLACE AND DURATION OF STUDY: Allied teaching hospitals of PMC and histopathology lab
PMC, From June 2018 to December 202. METHODOLOGY: 440 patients who met our inclusion criteria
and were selected using non probability convenient sampling. Patients of all age groups and both genders
were included in our study. Patients in whom appendectomy was performed as part of other abdominal
procedure were excluded. RESULTS: The mean age group of our study participants was 25.3+- 13.6 years.
Majority of patients undergoing appendectomies were of age group 11 to 20 43.8%. Male were 56.1% and
43.9% were female. Most of our patients’ histopathological examination findings were consistent with acute
appendicitis 55%. Negative appendectomies were performed on 4.1% patients. The overall usual findings
were found in 84.6% patients. While unexpected findings were found in 11.3% patients. CONCLUSION:
The unexpected findings detected by chance in our study were 11.3 %. Among those cases, serious
pathologies like carcinoma were very low 0.4% and there were no significant change in the management
of those pathologies. Routine histopathology is expensive and constitutes workload on pathologist and
financial burden on patients. So only those specimens should be subjected to biopsy which shows gross
evidence of any sinister pathology.
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