APPENDICECTOMY SPECIMENS

FREQUENCY OF UNUSUAL FINDINGS IN ROUTINE HISTOPATHOLOGICAL EXAMINATION

Abstract

Objectives: To determine the frequency of unusual findings in routine
histopathological examination of appendicectomy specimens. Setting: Surgical Department of
Govt: City Hospital, Lakki Marwat. Study Design: Descriptive study (cross sectional). Period:
One year (01/01/2016 to 31/12/2016). Methodology: A total of 497 patients (both male and
female) in age range of 18-60 years were studied. A complete history with clinical examination
and relevant investigations were performed in all patients. After Establishment of diagnosis
standard appendicectomy either open or Laparoscopic depending upon availability was done.
Appendicectomy specimen was sent to Pathology Department of the hospital. Histopathology
reports were collected by patient or his/her relatives and a copy was provided to the researcher
by Pathology Department. All the relevant data received from histopathology report was recorded
on predesigned proforma. Results: In this study mean age was 27 years with standard deviation
± 1.26. Forty two percent patients were male and 58% patients were female. Histopathology
findings among 497 patients was analyzed as appendix was negative in 20% patients while
positive appendix was found in 80% patients, in which 34% patients had lymphoid hyperplasia,
61% patients had fecolith, 4% patients had parasitic infestation (specify), 0.8% patients had
tuberculosis and 0.5% patients had neoplasia. Conclusion: Although unusual pathological
findings are seldom seen during an appendectomy, all appendectomy specimens should be
sent for routine histopathological examination.