Usual and Unusual Pathologies of Appendicitis: A Retrospective Analysis of 385 Patients

Authors : Veysi Hakan YARDIMCI, Cihan URAS

Pages : 645-650

Doi:10.31067/acusaglik.888217

View : 36 | Download : 15

Publication Date : 2021-07-01

Article Type : Research Paper

Abstract :Purpose: Appendectomy is the most common abdominal surgery performed worldwide. In this report, we evaluated the results of pathological examinations of acute appendicitis specimens. Methods: We performed a retrospective analysis of patients operated on for acute appendicitis at our surgical department from 2009 to 2017. Data on age, gender, and pathological diagnostic parameters were analyzed. Results: A total of 385 patients insert ignore into journalissuearticles values(168 women [43.6%] and 217 men [56.4%]);, were classified into acute appendicitis insert ignore into journalissuearticles values(Group 1);, normal appendix insert ignore into journalissuearticles values(Group 2);, and unusual pathological findings insert ignore into journalissuearticles values(Group 3); groups. The patients undergoing appendectomy were mostly in the 21–30 insert ignore into journalissuearticles values(n = 136, 35.3%); and 31–40 years insert ignore into journalissuearticles values(n = 118, 30.6%); age groups. The negative appendectomy rate was 4.4% in Group 2, and the proportion of women insert ignore into journalissuearticles values(70.6%); was significantly higher in that group than the other groups insert ignore into journalissuearticles values(p <0.05);. In total, 24 insert ignore into journalissuearticles values(6.2%); patients had unexpected findings. Among the appendix tumors insert ignore into journalissuearticles values(n = 12 [3.1%]); in our series, low-grade mucinous neoplasm insert ignore into journalissuearticles values(n = 6, 1.6%); was the most common, followed by a well-differentiated neuroendocrine tumor insert ignore into journalissuearticles values(n = 3, 0.8%);.Conclusion: Although unusual pathological findings are rare during appendectomy, all appendectomy specimens should be sent for routine histopathological examination. The abnormal incidental findings of 24 cases in this series had a significant impact on management. Patients with rare abnormalities should be treated according to the results of their pathological reports.
Keywords : Appendicitis, appendectomy, unexpected findings, histopathology