Pristine Normal Looking Appendix on Diagnostic Laparoscopy-A Management Dilemma

Rangan, Sarathy Kasturi; Samee, Abdus

doi:10.23937/2378-3397/1410135

Int J Surg Res Pract

2021

DOI: 10.23937/2378-3397/1410135

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Pristine Normal Looking Appendix on Diagnostic Laparoscopy-A Management Dilemma

Sarathy Kasturi Rangan¹,

Abdus Samee²

Abstract: What is the Clinical Presentation?The abdominal pain of appendicitis fibrous obliterans is very similar to acute appendicitis. However, other systemic symptoms like fever, anorexia might be variable. History and clinical examination do not make it possible to distinguish appendicitis fibrous obliterans with acute appendicitis [8]. Though the diagnosis of appendicitis fibrous obliterans is entirely incidental, one

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2024

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Appendiceal Obliterans Fibrosis: A Five-Year Case Series Report in a Community Hospital

Uddin,

Aktar,

Islam

et al. 2024

WJMCR

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Acute appendicitis is the most common appendiceal disease, however, there are some chronic inflammatory disease pathologies such as appendiceal obliterans (AO) that mimic acute appendicitis. We present a five-year retrospective case series analysis in a community hospital for patients who underwent appendectomy. Fibrous obliteration of the appendix occurs when there is a replacement of the mucosa and submucosa with fibrotic tissues. In a small community hospital, there were 195 patients that underwent appendectomy within a five-year period, in which 6.66% of patients' final pathology confirmed AO. There are some similar clinical symptoms and computed tomography (CT) findings of AO that can mimic acute appendicitis, but there is no consensus for any criteria to definitively diagnose this condition radiologically. The current method to determine the etiology of this appendiceal condition is through appendectomy followed by histological evaluation by a pathologist. We aim to analyze prior patients and their risk factors to find an alternative diagnostic method. We explore several factors including age, to determine if there can be any basis to creating a diagnostic criterion for this condition. The mean age within our case series was 58 years old. While fibrous obliteration of the appendix is a chronic inflammatory process, patients may present with acute abdominal pain, making the diagnosis difficult. Therefore, clinicians should make AO a part of their differential diagnosis which may require surgical intervention.

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Appendiceal Obliterans Fibrosis: A Five-Year Case Series Report in a Community Hospital

Uddin,

Aktar,

Islam

et al. 2024

WJMCR

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Pristine Normal Looking Appendix on Diagnostic Laparoscopy-A Management Dilemma

Cited by 1 publication

References 9 publications

Appendiceal Obliterans Fibrosis: A Five-Year Case Series Report in a Community Hospital

Appendiceal Obliterans Fibrosis: A Five-Year Case Series Report in a Community Hospital

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