Histopathological Study of Appendectomy Specimens in a Rural Tertiary Care Hospital in Bangladesh

Authors

  • Shamim Rahman Assistant Professor, Department of Pathology, Jahurul Islam Medical College, Kishoreganj, Bangladesh.
  • Syeda Noorjahan Karim Associate Professor, Department of Pathology, Gazi Medical College, Khulna, Bangladesh.
  • S M Maruf Al Tanzim Lecturer, Department of Pathology, Mymensingh Medical College, Mymensingh, Bangladesh.
  • Evana Kabir Assistant Professor, Department of Pathology, Jahurul Islam Medical College, Kishoreganj, Bangladesh.
  • Sampurna Sen Assistant Professor & Head, Department of Pathology, Ad-din Sakina Women’s Medical College, Jashore, Bangladesh.
  • Fariha Rahman Bristy MS Resident (Phase-A), Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • Khaleda Rahman Poly Assistant Professor, Department of Community Medicine, Kumudini Women’s Medical College, Tangail, Bangladesh.

DOI:

https://doi.org/10.3329/mediscope.v10i1.65406

Keywords:

Appendectomy specimen, Histopathology, Appendicitis

Abstract

Background: Appendicitis is one of the most common causes of the acute abdomen that demands emergency surgical intervention. It is a clinical condition that is frequently encountered as a diagnostic challenge. Sometimes grossly normal-appearing appendix, removed from patients with suspected acute appendicitis, on histopathological examination may reveal a more serious underlying pathology. Hence, histopathological studies form the gold standard for the diagnosis of appendicitis.

Aim: To study the histopathological patterns of appendicitis in patients who underwent appendectomy.

Methods: This study was carried out in the department of Pathology, Jahurul Islam Medical College, Bajitpur, Kishoreganj from January 2020 to December 2020. All the appendectomy specimens were received in 10% formalin as fixative. Sections obtained were studied to determine various histopathological patterns in appendectomy specimens.

Results: A total of 252 specimens were undertaken for histopathological examination. There were 154 (61.1%) males and 98 (38.1%) females with male to female ratio of 1.6:1.  The most common lesion observed was acute appendicitis (51.98%) followed by recurrent appendicitis (28.17%), acute suppurative appendicitis (07.15%), gangrenous appendicitis (06.36%), eosinophilic appendicitis (02.38%), follicular lymphoid hyperplasia (02.38%), mucinous adenoma (0.40%) and mucinous adenocarcinoma (02.38%). 

Conclusion: Most of the cases in this study were diagnosed with the usual features of appendicitis, though a few of them were incidental diagnoses that were missed clinically. These important incidental diagnoses undisputedly support the notion that every appendectomy specimen must be sent routinely for histopathological examination.

Mediscope 2023;10(1): 17-21

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Published

2023-04-11

How to Cite

Rahman, S., Karim, S. N., Al Tanzim, S. M. M. ., Kabir, E. ., Sen, S. ., Bristy, F. R. ., & Poly, K. R. . (2023). Histopathological Study of Appendectomy Specimens in a Rural Tertiary Care Hospital in Bangladesh. Mediscope, 10(1), 17–21. https://doi.org/10.3329/mediscope.v10i1.65406

Issue

Vol. 10 No. 1 (2023)

Section

Original Articles

License

Copyright (c) 2023 Shamim Rahman, Syeda Noorjahan Karim, S M Maruf Al Tanzim, Evana Kabir, Sampurna Sen, Fariha Rahman Bristy, Khaleda Rahman Poly

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