Anatomical Variations Related to Position of Appendix

Lamture, Yashwant; Salunke, Balaji

doi:10.14260/jemds/2018/1119

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…We found that appendixes were most often found in the pelvic region. The results we obtained were consistent with those found by other researchers, including those by Kacprzyk, et al 7 , Vieira et al 10 , Lamture et al 3 , and Tartaglia et al 11 . Yet, several other research have shown contradictory results with other anatomical positions 12,13 .…”

Section: Discussionsupporting

confidence: 93%

“…The right lower abdominal quadrant to the vermiform appendix, a digestive organ. It has a wormlike shape and develops from the cecal posteromedial wall during embryonic life, around 2 centimeters below the ileocecal valve 3 . In 1924, Gladstone and Wakeley conducted the first extensive research of the appendix's location by analyzing data from more than three thousand dissections 4 .…”

Section: Introductionmentioning

confidence: 99%

“…While its tail is always attached to the cecum, the appendix's head might be in a number of distinct locations. Retrocecal, pelvic, subcecal, preileal, retroileal, and ectopic are the six places used to classify the variety of circumstances 1,3 .…”

Section: Introductionmentioning

confidence: 99%

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Variation in Anatomical Position of Vermiform Appendix

Yousaf¹,

Kanwal²,

Ali³

et al. 2023

PJMHS

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Background: Delaying acute appendicitis diagnosis may cause appendix perforation and abscess or peritonitis. Appendectomy is one of the most common surgeries in Pakistan, however little is known about vermiform appendix variation architecture. Hence, appendix anatomy may improve prognosis, this research identified appendix anatomical locations, length, and age and sex relationships. Objective: This study aimed to identify the anatomical sites of the appendix, the length of the appendix and to examine the associations between these factors and age and sex. Study Design: Retrospective cross-sectional study Study Setting: This study was conducted in anatomy department of Islamic International Medical College, Rawalpindi from August 2022 to January 2023. Methodology: This retrospective cross-sectional research was completed in the (department and hospital name) between (year). This study was approved from Ethical review committee with IRB (no). The patients reports were taken for the completion of the study. The CT scan of both gender from 8 to 60 years with the help radiologist suggestions were included in this study. Together with a radiologist, we analyzed CT axial images, a coronal of 1.5 mm thickness, and a sagittal reconstruction to assess the anatomical findings of the vermiform appendix retrospectively. Results: There were 300 total participants in this research, 165 (55%) were female and 135 (45%) were male between 8years to 60 years of age. In both sexes, the following sites were found Pelvic, Post ileal, Pre ileal, Retro caecal, Retro colic, Retro Para colic, and Sub caecel. Appendix length and site was shown to be significantly different in gender and age (p<0.001). Children less than 10 years old were more likely to have an incomplete mesoappendix. According to our findings, males have a longer appendix than females do. On the other hand, we discovered that the appendix tends to become longer with age. Practical implication: The location of the appendix reportedly varies among ethnic and geographical groups. Preoperative planning requires knowledge of these variations. Although appendectomy is one of the most common operations in Pakistan, very little is known about vermiform appendix variation anatomy in the country. Conclusion: This study's findings showed that the vermiform appendix is most often seen in the pelvic position on CT in the Karachi-based population. In conclusion, the high prevalence of anterior location and full mesoappendix in our group suggests that acute appendicitis may be more easily and quickly diagnosed in our demographic, with fewer instances of sequelae including perforation and gangrene. Keywords: Vermiform Appendix, Pelvic, Post ileal, Pre ileal, Retro caecal, Retro colic, Retro Para colic, and Sub caecel

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Variation in Anatomical Position of Vermiform Appendix

Yousaf¹,

Kanwal²,

Ali³

et al. 2023

PJMHS

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“…21 Similarly in our study there was no significant change in length with advancing age. Zhou C et al reported that appendix length doesn't change with age and remains almost constant after early childhood 22 .…”

Section: Discussionmentioning

confidence: 99%

Variations in Anatomical Position of Vermiform Appendix in Pakistani Population

Jabeen¹,

Romaiza²,

Malik³

et al. 2022

PJMHS

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Aim: To study diversity in position and length of vermiform appendix in human body to manage the patients properly presenting with acute appendicitis. Methods: This is a cross sectional study conducted on 240 bodies. Study was conducted in anatomy department of Dow University of health sciences. Study was completed in one year duration from January 2021 to December 2021. Site and length of vermiform appendix was observed in dead bodies undergoing autopsy. Sample size was calculated using WHO sample size calculator. Consecutive sampling technique was used for sample selection. Data was analyzed using SPSS software (version-20) and chi-square test was applied on the collected data. Result: Total 240 bodies were studied for the anatomical position of appendix, including 156(65%) males and 84(35%) females. Mean age was 34.6 ± 5.2 years with the range of ages as 8-65 years. Mean length of the appendix was 92.6 ± 2.5 mm in men and 85.3 ± 4.7 mm in women. Pelvic position was the most common position of appendix found in 122(50.8%) bodies. Conclusion: High incidence of anterior position of appendix in Pakistani population describe that diagnosis of acute appendicitis can be made sooner and easier in our population with less complications like missed diagnosis, gangrene and perforation as compared to other populations. Key words: Vermiform appendix, Pakistani population, Appendicitis, Anatomical position

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“…Reference [24] reported that the most common position of the appendix was retrocaecal (61%) while the second most common position was pelvic (21%). Reference [7] reported that locations of the appendix as follows: retrocecal (55.5%), pelvic (23.5%), retroileal (9.0%), subcecal (6.5%), paracecal (5.0%) and subhepatic (0.5%). Reference [25] reported that most common position encountered in their study was retrocaecal (45%).…”

Section: Position Of the Vermiform Appendixmentioning

confidence: 99%

Position and Length of Appendix among Delhi Population-An Autopsy Based Study

Nupur,

Jena,

Singh

et al. 2024

EJMED

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Vermiform appendix reportedly shows lots of variations in its position and length among different individuals. The signs and symptoms presented by acute appendicitis requiring medical or surgical intervention may vary accordingly. Hence, medical practitioners should have a fair knowledge of such variations to diagnose the underlying pathology. Knowledge about variations in the position and length of the appendix is also equally important for its removal through minimally invasive surgery. The present study was conducted at Lady Hardinge Medical College, New Delhi from October 2018 to March 2020 to observe the variations in position and length of appendix in the dead bodies brought for routine medico-legal autopsies. Among 200 randomly selected deceased individuals, males were 88.5% whereas females were 11.5%. Maximum numbers of individuals were found in the age group 31–40 years (23%), followed by 41–50 years (22.5%) and then 21–30 years (22%). The mean age of the individuals was 43 ± 14.98 years, with an age range varied from 14 to 90 years. Position of the appendix was found pre-ileal in 6.5%, post-ileal in 10%, promonteric in 12%, pelvic in 21%, retro-caecal in 27.5%, para-colic in 13.5%, sub-caecal in 6.5% and others in 3% cases. Retro-caecal position was the most common position in the present study. The mean length of the vermiform appendix was found to be in the range of 0–5 cm in 10.5%, 5–10 cm in 63%, 10–15. cm in 21.5%, 15–20 cm in 4.5%, and more than 20 cm in 0.5% cases. The mean (average) length of the vermiform appendix was 8.4 ± 3.07 cm, with a range varied from 4.2 cm to 21.1 cm. The position of the appendix could not be related to the sex and age of the individual or to the length of the appendix.

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Anatomical Variations Related to Position of Appendix

Cited by 9 publications

References 5 publications

Variation in Anatomical Position of Vermiform Appendix

Variation in Anatomical Position of Vermiform Appendix

Variations in Anatomical Position of Vermiform Appendix in Pakistani Population

Position and Length of Appendix among Delhi Population-An Autopsy Based Study

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