Congenital absence of the appendix in a child with malrotation

Salim, Adnan; Moazzam, Zorays; Ashraf, Alina; Dogar, Sohail Asghar; Qazi, Saqib Hamid

doi:10.1016/j.epsc.2020.101530

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…This study reported that pelvic position is the most common position of appendix found in 50.8% bodies while preileal position is least common found in 2.5% bodies. These findings are comparable to a previous studies by Salim et al, Chauhan et al and Kerroum et al [11][12][13] . While few other studies by Rait et al and Yu D et al reported that retrocecal and pelvic positions are most common positions.…”

Section: Discussionsupporting

confidence: 93%

Variations in Anatomical Position of Vermiform Appendix in Pakistani Population

Jabeen¹,

Romaiza²,

Malik³

et al. 2022

PJMHS

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Aim: To study diversity in position and length of vermiform appendix in human body to manage the patients properly presenting with acute appendicitis. Methods: This is a cross sectional study conducted on 240 bodies. Study was conducted in anatomy department of Dow University of health sciences. Study was completed in one year duration from January 2021 to December 2021. Site and length of vermiform appendix was observed in dead bodies undergoing autopsy. Sample size was calculated using WHO sample size calculator. Consecutive sampling technique was used for sample selection. Data was analyzed using SPSS software (version-20) and chi-square test was applied on the collected data. Result: Total 240 bodies were studied for the anatomical position of appendix, including 156(65%) males and 84(35%) females. Mean age was 34.6 ± 5.2 years with the range of ages as 8-65 years. Mean length of the appendix was 92.6 ± 2.5 mm in men and 85.3 ± 4.7 mm in women. Pelvic position was the most common position of appendix found in 122(50.8%) bodies. Conclusion: High incidence of anterior position of appendix in Pakistani population describe that diagnosis of acute appendicitis can be made sooner and easier in our population with less complications like missed diagnosis, gangrene and perforation as compared to other populations. Key words: Vermiform appendix, Pakistani population, Appendicitis, Anatomical position

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Section: Discussionsupporting

confidence: 93%

Variations in Anatomical Position of Vermiform Appendix in Pakistani Population

Jabeen¹,

Romaiza²,

Malik³

et al. 2022

PJMHS

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“…Several sources agree that the vermiform appendix is the only human body organ that may be found in more than one place in the abdomen. Many unusual locations of the caecum and appendix are the result of several developmental abnormalities that occurred during midgut rotation 21 . Non-invasive imaging techniques allow doctors to see the vermiform appendix in its typical location.…”

Section: Discussionmentioning

confidence: 99%

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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“…In older children, presentation can be with various symptoms including vague abdominal complaints leading to delay in the diagnosis and treatment. The presenting symptoms are usually due to intermittent volvulus, which include bilious vomiting, chronic intermittent abdominal pain, failure to thrive and chronic intestinal blood loss [3][4][5] . We are presenting a series of three patients, a 10 months old boy, a 6 years old girl and a 10 years old boy admitted at the Paediatric B unit, Ayub Teaching Hospital, Abbottabad, within a span of one month, who had a final diagnosis of congenital midgut malrotation.…”

Section: Introductionmentioning

confidence: 99%

Pain Abdomen as a Presentation of Congenital Malrotation of Gut: A Case Series

Shah¹,

Khan

Aalia

2021

J Gandhara Med Dent Sci

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Malrotation of the gut can present at any age but the majority of patients present in neonatal period or early infancy. Most children present with a history of recurrent colicky abdominal pain, vomiting which can be bilious and failure to thrive. Delay in diagnosis leads to increase in mortality and morbidity. Here we present a series of three patients, one girl aged 6 years, one 10 months old boy and one 10 years old boy, who got admitted at our Pediatric Department in a one month period. Patients had a history of recurrent abdominal pain and occasional vomiting, seen and managed by multiple paediatricians and GP doctors with extensive diagnostic workup but never the accurate diagnosis was made. Thorough history was taken and examination done, planned work up done for diagnosis. High index of suspicion is needed in children presenting with recurrent pain in the abdomen. Targeted work-up should be done and patients be kept on follow-up for diagnosis of late presentation of congenital malrotation of the gut.

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Congenital absence of the appendix in a child with malrotation

Cited by 4 publications

References 26 publications

Variations in Anatomical Position of Vermiform Appendix in Pakistani Population

Variations in Anatomical Position of Vermiform Appendix in Pakistani Population

Variation in Anatomical Position of Vermiform Appendix

Pain Abdomen as a Presentation of Congenital Malrotation of Gut: A Case Series

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