Anatomical deviations in the position of vermiform appendix: the cadaveric study

Abstract

Vermiform appendix is the only organ in the body that has no constant anatomical position. It is so named because of its worm like appearance. Most common surgical cause of abdominal pain is appendicitis; its diagnosis is affected by anatomical variations of the vermiform appendix, because this is the most variable abdominal organ in terms of position and organ relations. Aim of the study was to examine anatomical features and different positions of the vermiform appendix in human cadavers. Material and methods. This study was carried on 45 human cadavers irrespective of sex and age from the Department of Anatomy at Andhra Pradesh over a period of 12 months. Results. Mean length of appendix was found to be 3.98 ± 1.27 cm. Mean outer girth was 2.17 ± 0.26 cm. Mean distance of vermiform appendix from ileocaecal junction was found to be 2.11 ± 0.43 cm. Commonest position was retrocaecal (44 %), followed by pelvic (21 %), postileal (9 %), subcaecal (13 %) and midinguinal (10 %). Conclusions. Variations in position of vermiform appendix will help the surgeons to make a diagnosis of appendicitis and aware about appendiceal rupture.

Demonstration of tissue and peripheral blood eosinophils in patients with acute appendicitis

“…A tiny finger-like blind-ended tube called the vermiform appendix connects to the cecum (Faisal et al, 2022) Which is arise from posteromedial wall of caecum about 2cm below the ileocecal junction and has no constant position (Iqbal et al, 2018, Alraddadi, 2021. Base of appendix has constant relationship with caecum, but the location of the tip was changeable (Iqbal et al, 2012, Gali et al, 2022. The length of a normal appendix varies between 6 to 9 cm (Ekici et al, 2018) as well as it might range between 2 to 20 cm (Schumpelick et al, 2000, Deshmukh et al, 2014.…”