Anatomical Variations of Vermiform Appendix on Plain MDCT and Its Association with Acute Appendicitis in Adult Urban Population of Karachi, A Tertiary Care Hospital Experience

Faisal, Lubna; Ajmal, Rizwan; Rehman, Fatima; Islam, Zia Ul; Qayyum, Sadia Abdul; Athar, Saima

doi:10.51985/jbumdc2021118

Cited by 3 publications

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“…As we've already shown, this development greatly aided in distinguishing between typical and uncommon forms of the appendix. Vermiform appendix was found to be at a significantly different location on CT of individuals with acute abdomen compared to cadaveric studies 22 .…”

Section: Discussionmentioning

confidence: 69%

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Variation in Anatomical Position of Vermiform Appendix

Yousaf¹,

Kanwal²,

Ali³

et al. 2023

PJMHS

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Background: Delaying acute appendicitis diagnosis may cause appendix perforation and abscess or peritonitis. Appendectomy is one of the most common surgeries in Pakistan, however little is known about vermiform appendix variation architecture. Hence, appendix anatomy may improve prognosis, this research identified appendix anatomical locations, length, and age and sex relationships. Objective: This study aimed to identify the anatomical sites of the appendix, the length of the appendix and to examine the associations between these factors and age and sex. Study Design: Retrospective cross-sectional study Study Setting: This study was conducted in anatomy department of Islamic International Medical College, Rawalpindi from August 2022 to January 2023. Methodology: This retrospective cross-sectional research was completed in the (department and hospital name) between (year). This study was approved from Ethical review committee with IRB (no). The patients reports were taken for the completion of the study. The CT scan of both gender from 8 to 60 years with the help radiologist suggestions were included in this study. Together with a radiologist, we analyzed CT axial images, a coronal of 1.5 mm thickness, and a sagittal reconstruction to assess the anatomical findings of the vermiform appendix retrospectively. Results: There were 300 total participants in this research, 165 (55%) were female and 135 (45%) were male between 8years to 60 years of age. In both sexes, the following sites were found Pelvic, Post ileal, Pre ileal, Retro caecal, Retro colic, Retro Para colic, and Sub caecel. Appendix length and site was shown to be significantly different in gender and age (p<0.001). Children less than 10 years old were more likely to have an incomplete mesoappendix. According to our findings, males have a longer appendix than females do. On the other hand, we discovered that the appendix tends to become longer with age. Practical implication: The location of the appendix reportedly varies among ethnic and geographical groups. Preoperative planning requires knowledge of these variations. Although appendectomy is one of the most common operations in Pakistan, very little is known about vermiform appendix variation anatomy in the country. Conclusion: This study's findings showed that the vermiform appendix is most often seen in the pelvic position on CT in the Karachi-based population. In conclusion, the high prevalence of anterior location and full mesoappendix in our group suggests that acute appendicitis may be more easily and quickly diagnosed in our demographic, with fewer instances of sequelae including perforation and gangrene. Keywords: Vermiform Appendix, Pelvic, Post ileal, Pre ileal, Retro caecal, Retro colic, Retro Para colic, and Sub caecel

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Section: Discussionmentioning

confidence: 69%

“…Non-invasive imaging techniques allow doctors to see the vermiform appendix in its typical location. The high spatial resolution of the computer tomography (CT) has made it a reliable imaging tool for assessing the vermiform appendix 22 . Classification based on CT appendicular tip location was examined in this investigation.…”

Section: Discussionmentioning

confidence: 99%

Variation in Anatomical Position of Vermiform Appendix

Yousaf¹,

Kanwal²,

Ali³

et al. 2023

PJMHS

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“…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.…”

Section: Introductionmentioning

confidence: 99%

“…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. Histologically the appendiceal wall consists of 4 layers and has several unique features and specialized cells (Iurii et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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

2023

ZJPAS

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Acute appendicitis (AA) is the most surgical emergencies. Clinical diagnosis is usually confirmed by adjuvant laboratory testing but histopathology is the gold standard for diagnosis. Acute eosinophilic appendicitis (AEA) is a rare form of appendicitis with muscularis propria infiltration and muscle fiber edema. This study was aimed to find simple and accurate way for the diagnosis of unusual eosinophilic appendicitis that may requires postoperative special treatment. A prospective investigation was conducted at Shahid Dr. Khalid Teaching Hospital in (Koya city/ Kurdistan Region/ Iraq), This involves randomly selecting fifty appendectomy samples from emergency department patients from November 2021 to May 2022. Acute appendicitis is suspected in these patients based on their medical history, physical examination, investigation, and abdominal ultrasound. The patients were 28 (56% males) and 22 (44% females). Patients ranged in age from 4 to 43 years, with a mean of 20.98 years, and The majority of cases (60%) are under 20. A significant gradual (increase in weight and decrease in dimensions) of appendix with different age group was seen. Theoretical and actual means of CBC parameters differed significantly, although there was no significant sex difference. Tissue and peripheral blood eosinophil counts were directly correlated (P < 0.01), although there was a negative correlation between tissue and WBC count (P<0.0019). Congo red was statistically highly significant (P< 0.0001) in detecting tissue eosinophils compared to MGG and H&E. In conclusion, Congo red better than H&E and MGG staining for identifying tissue eosinophils, also tissue and peripheral blood eosinophils were positively correlated.

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