Pathology of tropical appendicitis.

Abstract

summARY Over the past 25 years, 2921 appendicectomies were performed at this hospital. All were subjected to routine histopathological examination. In 95% of cases, histopathological examination did not add any further information but in 153 (5%) cases, clinically important pathological findings were detected for the first time. Seventy (2-3%) specimens showed typical evidence of tuberculosis. Parasitic infestation was detected in 75 (2.5%), including enterobiasis (1-4%), amoebiasis (0-5%), ascariasis (0 5%), ascariasis with trichuriasis (0 05%), and taeniasis (0'05%). Other lesions found were mucocele (0-1%) and carcinoid tumour (0-1%).It is concluded that routine histopathological examination ofall appendicectomy specimens should be performed to avoid missing any clinically important and treatable condition.

Parasitic Infections of the Appendix as a Cause of Appendectomy in Adult Patients

“…Role of parasitic infection as a co-factor in appendicitis is controversial even though today. There are only a few evidence about the relation between acute appendicitis and parasites (17)(18)(19). Onset of pathogenesis of acute appendicitis may be due to either inflammation occurring secondary to existence of parasites and their ova, or obstruction of the lumen by parasite itself (17)(18)(19).…”

A rare cause of acute abdomen in adults: Parasitic infection-related acute appendicitis

“…Acute appendicitis may develop as a result of the obstruction of the lumen by an adult parasite, whereas it may also develop due to secondary infection by the egg. The mechanism responsible for this pathology is the lymphoid hyperplasia, which develops due to secondary infection (8)(9)(10). In our case, the reason for acute appendicitis was a secondary infection.…”

Histomorphological Study to find out the Etio-pathogenesis of Appendicectomy Specimens – A Cross Sectional Study in RIMS, Ranchi

“…7 In another study, it was observed that, in 5% of cases important pathological findings were found incidentally; thus making routine evaluation unavoidable. 4 In the present study, we took up microscopic evaluation of all appendicectomies those are clinically diagnosed as appendicitis.…”

“…2 According to Foreign studies, acute appendicitis affects males and females about equally, 3 but male predominance is found in majority of the Indian studies. 4 Deaths from appendicitis are very rare, and usually occur in the elderly, in whom the symptoms are less striking in relation to the severity of the disease and in whom silent perforation of the appendix with peritonitis is more common.…”