Morphological variations in the anatomy of caecum and appendix - A cadaveric study

Banerjee, Arindom; Kumar, Ishan; Tapadar, Arunabha; Pranay., M

doi:10.4103/2277-4025.298066

Cited by 8 publications

(2 citation statements)

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“…Most appendiceal fistulae project to the bladder. Whilst the proportions of the most common locations of the appendix vary between studies, the pelvic position is usually among the most common . In such cases, the appendix is within close proximity to pelvic structures, of which the bladder is the largest.…”

Section: Discussionmentioning

confidence: 99%

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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Background The appendix has a unique place in surgical history. Although the first ever appendicectomy involved a fistula to the skin, fistulae involving the appendix remain uncommon and can lead to unique surgical considerations. Methods A systematic review of the literature was performed for case reports of appendiceal fistulae. We excluded cases in which the patient had a history of appendicectomy. Cases were categorized by site and aetiology, with information regarding relative frequency and demographics obtained. Results A total of 301 case reports of fistula involving the appendix were found. The most common sites of these fistulae were to the bladder (148 cases), skin (40 cases), vasculature (19 cases), umbilicus (16 cases) and to the gastrointestinal tract. The most common aetiology in sub‐analysis was appendicitis alone (150 cases), with less common causes including appendiceal adenocarcinoma (32 cases) and congenital abnormalities (18 cases). There were significantly more appendiceal fistulae in males than in females, with a ratio of 1.7:1. In patients with appendiceal adenocarcinoma as a cause for fistula, there were significantly more females than males with a ratio of 2.3:1. Conclusion In conducting a systematic review of case reports of fistulae involving the appendix, we identified 301 unique case reports, with a range of different sites and aetiologies.

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Section: Discussionmentioning

confidence: 99%

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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“…Several conditions like diverticulae, mucocele, carcinoid tumours, intususseption of the appendix mimic acute appendicitis. Therefore, the diagnosis of acute appendicitis remains a challenge despite advanced radiographic and diagnostic laboratory investigation techniques and ultimately left with the art of surgical diagnosis [5]. Therefore, the surgeons performing abdominal operations in adults as well as in children and infants should be well versed with the knowledge of normal as well as variable positions of the caecum and appendix which will help them to diagnose the cases of appendicitis when there is no typical presentation of pain and tenderness over Mc Burney's point in the right iliac fossa.…”

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confidence: 99%

Morphological Variations of Caecum and Appendix in the Central India: A Cadaveric Study

Sonare¹,

Nikam²,

Kamdi³

2019

IJAR

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One of the important reasons of acute abdomen is appendicitis and emergency surgery is needed many times to treat the condition. Different clinical presentations of appendicitis are observed because of the variations in anatomical location of the appendix. Anatomical and topographical variations of the caecum are also known. These unusual positions and presentations land the surgeon in diagnostic and surgical challenges. In this study, the anatomical variations of the caecum and appendix have been observed. The present study is aimed to study the variations in the size, shape, position and arterial supply of the caecum and appendix in individuals of different ages and sex, a thorough knowledge of which will aid surgeons in performing various abdominal operations. The study was carried out on 30 adult cadavers in the department of Anatomy, Government medical college, Nagpur, Maharashtra, India. Out of which 20 were male cadavers and 10 were female cadavers. The Anatomy of 30 caecum and 30 appendix was studied in detail. In most of the cadavers, the caecum and appendix were found in the right iliac fossa. The commonest shape of the caecum found, was adult (ampullary) type. The commonest position of the appendix found, was retro-caecal, followed by pelvic. This information is certainly helpful to the surgeons in locating the caecum and appendix during surgical interventions.

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Small Intestines, Appendix, and Colon

Watanabe

2016

Bergman's Comprehensive Encyclopedia of Human Anatomic Variation

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Morphological variations in the anatomy of caecum and appendix - A cadaveric study

Cited by 8 publications

References 0 publications

Fistulae involving the appendix: a systematic review of the literature

Fistulae involving the appendix: a systematic review of the literature

Morphological Variations of Caecum and Appendix in the Central India: A Cadaveric Study

Small Intestines, Appendix, and Colon

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