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Original Research

RMJ. 2022; 47(2): 350-353

Histopathological findings of appendicectomy specimens at a tertiary care hospital in Peshawar; A two-year retrospective study

Zubair Ahmad Khan, Muhammad Khizar Hayat, Mohammad Ahmad Arsalan Khan, Omer Nasim, Zainab Rustam.


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.

Key words: Abdominal pain, appendectomy, appendix.

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