Published Paper Details:

Background: Histopathological examination still remains the gold standard method for the confirmation of the appendicitis. Patients with incidental findings of tumors and parasites, do not present with the specific symptoms and hence, elective or incidental appendectomies are performed. Aims: To determine the various histological diagnoses of all surgically removed appendices and to find out the age and sex related incidence of appendicitis, the perforation rate and the rate of elective or incidental appendectomies. Methods: This was a cross sectional retrospective study at a tertiary care centre of 1043 appendectomy cases over two years period. Results: The mean age was found to be 29.13 years. In present, males (51.7%) slightly outnumbered females (48.3%), with male to female ratio of 1.06: 1. Most common non-neoplastic lesion was acute appendicitis (51.8%), followed by chronic/ recurrent appendicitis (31.6%). Neoplastic lesions included eight metastatic Adenocarcinoma � six from colon (0.6%) and two from ovary (0.2%). Carcinoid tumor was found in 0.2% cases and Primary Mucinous Adenocarcinoma was seen in 0.1% cases. Limitations: This was a retrospective study hence the follow-up of patients could not be done. Conclusions: Present study strongly emphasizes and recommends meticulous gross as well as microscopic examination of every appendectomy specimen.