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APPENDICECTOMY IN CHILDHOOD: PATHOLOGY FOUND
Author(s) -
Wright J. E.,
Rowley M.
Publication year - 1987
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1987.tb01380.x
Subject(s) - medicine , appendix , surgical pathology , mesentery , abnormality , appendicitis , acute appendicitis , histology , general surgery , pathology , radiology , paleontology , psychiatry , biology
A review of the operation and pathology reports from 500 consecutive childhood appendicectomies by one surgeon revealed true acute appendicitis in 64% of patients, other pathology in 19.8% and normal operation findings and histology in 16.2%. When a normal appendix was found at operation, search of the adjacent peritoneal cavity produced a positive yield in 14% of searches, including abnormality in the small bowel in 4%, in the omentum or mesentery in 3% and in the female pelvic organs in 7%. Of appendices deemed normal by the surgeon 8.7% were histologically inflamed and of those deemed inflamed by the surgeon 3.5% were histologically normal. These figures emphasize the need for a more critical approach to the diagnosis of appendicitis both pre‐ and peroperatively and of the importance of histological examination of the organ.