STUDY OF DIFFERENT POSITIONS OF APPENDIX IN OPERATED CASES OF APPENDICITIS IN RURAL HOSPITAL AND ITS CLINICAL CORRELATION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 24
Abstract
BACKGROUND The relationship of the various positions of appendix to its clinical picture and course in the patient is a subject of controversy. The objective is to study the correlation between anatomical position of appendix and its varied clinical presentation and also to determine the frequency of different positions of appendix in operated cases of acute appendicitis. MATERIALS AND METHODS This study was conducted from Nov 2012 to April 2014 for a period of 16 months in MVJ Medical College and Research Hospital, Hoskote, Bangalore. There were 150 cases in the study, which were histopathologically positive for appendicitis. RESULTS There were total of 150 cases. The commonest position of the appendix is retrocaecal (67.3%) followed by pelvic (16%), preileal (7.3%), post-ileal (4.6%), paracaecal (2.6%), subcaecal (1.3%) and subhepatic (0.6%). Certain positions like fixed retrocaecal, pelvic and post-ileal presented more often atypically. CONCLUSION There is no increased predisposition for any of the position of the appendix to get inflamed. Complications were more common in cases fixed retrocaecal, post-ileal and pelvic appendix. The patients with the above positions presented more often atypically than typically and with subtle signs and symptoms leading to delayed diagnosis and increased complications.
Authors and Affiliations
Arunabha Sinha, Arjun Cukkemane, Vinod Saini
Keywords
Related Articles
- EP ID EP215340
- DOI 10.18410/jebmh/2017/276
- Views 143
- Downloads 0
EFFECT OF ALKALINISATION OF URINE ON THE EFFICACY OF QUINOLONES IN TREATMENT OF URINARY TRACT INFECTION
BACKGROUND Physicians commonly prescribe an alkaliniser along with fluoroquinolones (FQ) in treatment of UTI. The combined effect of these two drugs in our body is unknown. So, we conducted two studies with two different...
EFFICACY OF LOCAL INFILTRATION OF AUTOLOGOUS BLOOD VERSUS LOCAL CORTICOSTEROID INJECTION- THE TREATMENT OF CHRONIC TENNIS ELBOW
BACKGROUND Chronic painful tendon disorders are common in both sport persons and common individuals. 1,2 Lateral epicondylitis (tennis elbow) is relatively more common among active individuals in the general population....
PANCREATIC ALPHA CELL DYSFUNCTION IN DIABETES MELLITUS AND ITS MANAGEMENT STRATEGIES
BACKGROUND Diabetes mellitus has primarily centered around the insulin deficiency owing to pancreatic beta-cell dysfunction or loss and associated insulin resistance. Recently, numerous findings indicate that defect of g...
A STUDY OF W.H.O. GROUP II PULMONARY HYPERTENSION BY ECHOCARDIOGRAPHY IN A TERTIARY CARE INSTITUTE, TAMILNADU, SOUTH INDIA
BACKGROUND Pulmonary hypertension is a progressive disease with high morbidity and mortality. The W.H.O. Group II Pulmonary hypertension (Pulmonary hypertension due to left heart disease) is the most prevalent form of PH...
PREVALENCE OF ANAEMIA AMONG CHILDREN AGED 12 YEARS AND YOUNGER IN NORTH EAST INDIA
BACKGROUND AND OBJECTIVE Anaemia is one of the most important public health problem among children. The infants, preschool children, adolescents and pregnant women are at highest risk of nutritional anaemia. The aim of t...