Abstract
Objective: To determine the histopathological
findings of appendectomy specimens and rate of
negative appendectomies with the advent of newer
diagnostic modalities.
Methodology: This descriptive cross-sectional study
was carried out at the general surgery and
histopathology units of Rehman Medical Institute
(RMI) from October to December 2019 using
universal sampling technique. Data from June 2017 to
June 2019 was extracted from RMI archives. All the
patients admitted for appendectomies were included in
the study regardless of their age, gender or ethnicity.
Patients excluded from the study were those with the
need of a concurrent surgical intervention. Data were
copied into Microsoft Excel and analyzed using pivot
tables.
Results: A total of 271 appendectomies were carried
out during study period. Out of the 271
appendectomies, 173 (63.8%) were males while 98
(36.1%) females. Mean age for both males and females
was 28.59 ± 15.26 years. Acute appendicitis was the
most common diagnosis (51.66%), Follicular
Lymphoid Hyperplasia (18.45%) followed acute
appendicitis showing the same male dominance (30)
against females (20). Normal appendix or negative
appendectomies were seen to be only 1.11%. Parasitic
appendix (0.74%) and Xanthogranulomatus
appendicitis (0.37%) were two of the rare findings.
Conclusion: The most common histopathological
finding in appendectomy specimens is that of acute
appendicitis. Normal appendix specimen were low.
Keywords: Abdominal pain, appendectomy,
appendix.
