APPENDICECTOMY SPECIMENS

Objectives: To determine the frequency of unusual findings in routinehistopathological examination of appendicectomy specimens. Setting: Surgical Department ofGovt: City Hospital, Lakki Marwat. Study Design: Descriptive study (cross sectional). Period:One year (01/01/2016 to 31/12/2016). Methodology: A total of 497 patients (both male andfemale) in age range of 18-60 years were studied. A complete history with clinical examinationand relevant investigations were performed in all patients. After Establishment of diagnosisstandard appendicectomy either open or Laparoscopic depending upon availability was done.Appendicectomy specimen was sent to Pathology Department of the hospital. Histopathologyreports were collected by patient or his/her relatives and a copy was provided to the researcherby Pathology Department. All the relevant data received from histopathology report was recordedon predesigned proforma. Results: In this study mean age was 27 years with standard deviation± 1.26. Forty two percent patients were male and 58% patients were female. Histopathologyfindings among 497 patients was analyzed as appendix was negative in 20% patients whilepositive appendix was found in 80% patients, in which 34% patients had lymphoid hyperplasia,61% patients had fecolith, 4% patients had parasitic infestation (specify), 0.8% patients hadtuberculosis and 0.5% patients had neoplasia. Conclusion: Although unusual pathologicalfindings are seldom seen during an appendectomy, all appendectomy specimens should besent for routine histopathological examination.