DOI: http://dx.doi.org/10.18203/2349-2902.isj20191279

Clinical-epidemiological profile of acute appendicitis at tertiary care institute of Bhuj, Kutch: a retrospective study

Kamlesh Vegad, Ghanshyam Parmar

Abstract


Background: Acute appendicitis is one of the commonest surgical emergencies in all ages and the importance of specific elements in the clinical diagnosis remains controversial. Present study was performed with an aim to determine the presenting pattern of acute appendicitis and to review the pathological diagnosis.

Methods: Present retrospective study was conducted in 115 patients who had appendicectomy for acute appendicitis at the Department of Surgery, tertiary care institute of Gujarat, India for the period of 1 year. The complaints and physical examination findings of the patients were obtained from their medical files Patient demographics, clinical features, operative findings and histology results were recorded on a special patient proforma.

Results: Out of the total of 115 patients studied, 70 were males while 45 were females. The most common presenting complaints were abdominal pain (n=115), Nausea (n=55), vomiting (n=77) and diarrhoea (n=14). At surgery, 68.6% of appendices were apparently inflamed.1.7% were perforated and 5.2% had appendicular abscess whereas in 24.3% cases faecolith with inflammation was present. Sixty percent of the patients were discharged on the 4th day, 5.2% were discharged on 5th day, 4.3% on 6th day, 25.2% on 7th day and 3.4% on 8th day and 1.7% had a hospital stay of 10 or more days.

Conclusions: Present study shows that acute appendicitis in India is a disease of young males. Hospitalization time was directly associated with the evolutionary phase and increased with the severity of appendicitis.


Keywords


Abdominal pain, Acute appendicitis, Appendicular abscess, Demographics

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References


Ekka NMP. A Clinicopathological Study of Acute Appendicitis in Eastern India. Int J Med Dent Sci. 2016;5(2):1145-9.

Chamisa I. A clinicopathological review of 324 appendices removed for acute appendicitis in Durban, South Africa: A retrospective analysis. Ann R Coll Surg Engl. 2009;91(8):688–92.

Fenyo G, Boijsen M, Enochsson L, Goldinger M, Grondal S, Lundquist P, et al. Acute abdomen calls for considerable care resources. Analysis of 3727 in-patients in the county of Stockholm during the first quarter of 1995. Lakartidningen. 2000;97(37):4008-12.

Horrocks JC, de Dombal FT. Computer-aided diagnosis of “dyspepsia”. Am J Dig Dis. 1975;20(5):397-406.

Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis: nationwide analysis. Arch Surg. 2002;137(7):799-804.

Graff L, Russell J, Seashore J, Tate J, Elwell A, Prete M, et al. Falsenegative and false-positive errors in abdominal pain evaluation: failure to diagnose acute appendicitis and unnecessary surgery. Acad Emerg Med. 2000;7(11):1244-55.

Mahesh SV, Hota PK, Sneha P. A study of Alvarado score and its correlation with acute appendicitis. Int Surg J. 2016;3(4):1950–3.

Marudanayagam R, Williams GT, Rees BI. Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol. 2006;41:745–9.

Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5):910-25.

Singhal R, Angmo N, Somaiah N, Majumdar H, Chaturvedi KU. A retrospective review of the histopathology and clinicopathologic correlates of appendices removed from patients of acute appendicitis. Minerva Chirurgica. 2007;62(1):11-8.

Colson M, Skinner KA, Punnington G. High negative appendicectomy rates are no longer acceptable. Am J Surg. 1997;174:723–6.

Dey S, Mohanta PK, Baruah AK, Hhraga B, Bhutia KL, Singh VK. Alvarado Scoring in acute Appendicitis- a Clinicopathological Correlation. Indian J Surg. 2010;72(4):290-4.