Study of Variations in Position of Appendix in 100 Operated Case of Appendicitis
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 5
Abstract
Introduction:- Appendix is a wormlike structure arises from posteromedial wall of the cecum, about 2 cm below the ileocecal valve. Though a remarkably constant structure, the appendix is occasionally subject to the extremes of variation, Signs and symptoms may show varying degree of discrepancy depending on position of the appendix. The aim of our study is to determine the position of the appendix in a group of patients examined by the authors. Results:- The positions of the appendix found were as follow :-retrocecal: 66% , pelvic: 27%, post-ileal: 3% , subcecal: 2% , paracecal: 1% , pre-ileal: 1% . Discussion:- In our study retrocecal is the most common position, followed by pelvic> post-ileal>subcecal>paracecal>pre-ileal. The result of our study is correlating with some study in which retrocecal position is most common and contradicting with some study in which pelvic position is most common (Table 1).symptom and sign is different in various position and mimics other condition which leads to misdiagnosis. In the subcecal position, the appendix is intraperitoneal if inflamed, it can cause diffuse peritonitis. Thus, this position can be regarded as the most susceptible to complications. In pelvic position appendicitis may mimics with cystitis. In pre or post ileal position may irritate intestine and mimics gastroenteritis. Conclusion:- After the study strong association has been found between hidden locations of the appendix and the development of an advanced appendicitis, which results in longer hospital stay and high incidence of gangrene and perforation.
Authors and Affiliations
Dr. Prakash Dharavia Parmar
Keywords
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