Clinicopathological correlation of emergency appendicectomies in a tertiary care centre-an institutional experience

Abstract

Introduction: Acute appendicitis is the most common abdominal emergency and has remained an on going diagnostic challenge. Histopathologic studies are the gold standard for final diagnosis. Aims and Objectives: To detect the diagnostic accuracy of appendicitis by clinical, radiological and histopathological findings Materials and Methods: A one-year retrospective study from 1ST July 2019 to 30th June 2020 of 204 appendicectomy cases. Demography, clinical findings, radiologic and laboratory studies, histopathology findings were analysed. Results: Among the 204 appendicectomy cases 132 (64.7%) were males and 72 (35.29%) were female patients. Most of the patients presented in the 2nd decade. Most common histopathological finding was Acute Appendicitis comprising of 126 cases followed by chronic appendicitis comprising of 50 cases. Acute appendicitis was associated with leucocytosis and neutrophilia. Rare incidental finding of neoplasm was one case of Low Grade Mucinous Neoplasm (LAMN). USG and histopathological correlation was significant only when USG was combined with clinical and laboratory findings. Conclusion: Histopathological examination of appendix is necessary for confirmation of type of inflammation. In addition scrutinized grossing should be done to detect any parasitic infestations, appendicolith, tubercular appendicitis and neoplasms of appendix. USG should be correlated with clinical and laboratory findings to diagnose appendicitis.