“…Type I hypersensitivity reaction causes degranulation of mast cells, release of mediators by mast cells might be another triggering factor for the sequence of events leading to appendicitis [12]. Correlation between mast cell density, neural ganglia hypertrophy and fibrosis in cases of chronic appendicitis as seen in the present study was in concordance with studies conducted by Nagaraj G et al [4], Kolur A et al [7], Sonti S et al [8], Sharma J et al [14], Kumaran C et al [15] and Naik R et al [16], mast cells have been implicated in the pathogenesis of fibrosis and neuronal hypertrophy in chronic appendicitis due to release of growth factors leading to fibroblastic and neuronal proliferation, this was in agreement with the findings in the other studies [4,7,8,14,15,16]. In the present study highest mean eosinophil count was seen in the mucosa of acute suppurative appendicitis and lowest eosinophil count was seen in the muscularis propria of chronic appendicitis.…”