Background: Appendicitis is the most commonly performed emergency abdominal surgery. An accurate and timely diagnosis of acute appendicitis remains a challenge. Objective: This study was performed to determine and correlate between the clinical patterns of acute appendicitis, laboratory and ultrasound findings and pathology found in appendicectomy specimens to help timely diagnosis and reduce negative appendicectomy rate. Methods: This is a cross sectional study, detailed history and clinical examination of the patient was carried out at the time of admission. Operative findings along with any complications as well as histopathological findings were recorded. Patients were followed up for one month for any complications. Results: A total of 125 patients were treated for appendicitis during this period with a male female ratio of 1:1.36. Most common age group was the 2 nd decade with mean age being 20 years, while most common symptom was abdominal pain. Ultrasonography showed evidence of acute appendicitis in 85.6% and leucocytosis in 66.4% cases. Although only 5.6% of appendices grossly appeared normal during surgery, histopathology showed 14.4% to be normal. Wound sepsis (24.8%) was the most common post-operative complication. Conclusion: Diagnosis of acute appendicitis in our setting is still based on high index of suspicion following clinical evaluation. Combining this with laboratory findings and ultrasound scan has yielded an acceptable negative appendicectomy rate. We advocate routine use of ultrasound along with clinical evaluation and laboratory tests for the timely diagnosis of acute appendicitis and an early surgical intervention to prevent complications.

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Background: The inguinal canal is an oblique intermuscular passage lying above the medial half of the inguinal ligament. Its size and form vary with age and sex, although it is present in both sexes, it is most well developed in male. The inguinal canal in both sexes has been studied by many workers both in India and in other countries. It is observed that the inguinal hernia and recurrence of hernia after surgery is very common in the kosi region of Bihar. This observational study may help the surgeons during the operation of inguinal hernia.Materials and Methods: Present study conducted at the department of Anatomy, Katihar medical college and hospital Katihar and Lord Buddha Kosi Medical College, Saharsa during the period of 2010 to 2016. The cadaver provided for dissection to the student of first professional MBBS, are selected for the study. Cadavers with injured groin region are not taken for the study. Measurements were done by stainless steel scale and spreading calliper during dissection of groin region.Results: Anatomy of inguinal canal, superficial inguinal ring, the deep inguinal ring and the related structures was studied in details in 50 cadavers in the dissection hall at the time of dissection. During this study I have found that the average length of inguinal canal in the male was 38.35 mm. The longest diameter of deep inguinal ring is 13 mm and smallest diameter is 9 mm. The average measurement of superficial inguinal ring was 12mm along the base and 24mm from apex to base. Conclusion:At the end of the study I have found a little variation from the established facts related to diameter of superficial inguinal ring, position of deep inguinal ring and direction of fibres of external oblique aponeurosis.