J O Thomas1. 1. Department of Pathology, University College Hospital, Ibadan, Nigeria.
Abstract
OBJECTIVES: To compare the clinical diagnosis with the histopathological diagnosis; to highlight associated histological lesions and; to determine whether these provide additional useful information for management. DESIGN: Case series. SETTING: Pathology Department of the King Fahd Specialist Hospital in Buraidah, Saudi Arabia. SUBJECTS: 370 appendicectomy specimen reviewed within a 12 month period. MAIN OUTCOME MEASURES: Diagnostic accuracy of a clinical diagnosis of acute or chronic appendicitis. RESULTS: Acute appendicitis was found to be most common between ages 10 to 29 years (74.0%). The diagnostic accuracy was 81%. A higher rate of appendices without histological sign of inflammation was found in females. Incidental appendicectomy was commonly associated with cholecystectomy. Unsuspected but treatable parasitic and protozoal infections were detected in 3% of appendices. CONCLUSION: Routine examination of all appendicectomy specimens cannot be overemphasized, as unsuspected but treatable parasitic on protozoal infections may be detected.
OBJECTIVES: To compare the clinical diagnosis with the histopathological diagnosis; to highlight associated histological lesions and; to determine whether these provide additional useful information for management. DESIGN: Case series. SETTING: Pathology Department of the King Fahd Specialist Hospital in Buraidah, Saudi Arabia. SUBJECTS: 370 appendicectomy specimen reviewed within a 12 month period. MAIN OUTCOME MEASURES: Diagnostic accuracy of a clinical diagnosis of acute or chronic appendicitis. RESULTS: Acute appendicitis was found to be most common between ages 10 to 29 years (74.0%). The diagnostic accuracy was 81%. A higher rate of appendices without histological sign of inflammation was found in females. Incidental appendicectomy was commonly associated with cholecystectomy. Unsuspected but treatable parasitic and protozoal infections were detected in 3% of appendices. CONCLUSION: Routine examination of all appendicectomy specimens cannot be overemphasized, as unsuspected but treatable parasitic on protozoal infections may be detected.
Authors: Fahad Alnuaymah; Amarachukwu Chiduziem Etonyeaku; Hamad S Alsaeed; Abdullah N AlSamani; Atheen A Alshubrmi; Rayan K Aldoubiab; Abdulhakeem A Aloqla; Moath A Almushiqeh Journal: Cureus Date: 2022-08-31