The appendicitis is a very common surgical emergency and for
which appendicectomy is the treatment of choice. Appendicitis can
cause morbidity and mortality which is related to appendicular
perforation, gangrene, peritonitis, sepsis, etc. Aims and Objectives:
To study the histomorphological features of the appendicectomy
specimens and its clinical correlation. Materials and Methods: This is
prospective, observational type of study. The total 270 specimens of
appendicectomy received at pathology department of our tertiary
care hospital were studied over a period of 2 years from 1/1/2016 to
31/12/2017. Results: Total of 270 appendicectomy specimens were
studied. The common gross findings in appendicectomy specimens
were inflamed appendix, other were perforation, obliteration
gangrene. Among these 98.51% were involved by non -neoplastic
lesions and 1.49% by neoplastic lesions. Non-neoplastic lesions were
acute appendicitis 219 cases (81.19%), chronic appendicitis 29 cases
(10.74%), perforation in 04 cases (1.49%), gangrenous in 02 cases
(0.74%) etc. Neoplastic lesions includes 2 cases of low grade mucinous
neoplasm and 02 cases of carcinoid tumor. Conclusion: The careful
and systematic study of all the surgically removed appendicectomy
specimens are very important. The most common histopathological
finding in our study was acute appendicitis followed by chronic
appendicitis. The neoplastic lesions were very low. The clinical
diagnosis, relevant investigations and histopathological diagnosis
are important for patients of appendicular lesions in the treatment
and to reduce the morbidity and mortality.
Keywords: Histopathology; Appendicitis; Clinical features; Pain
abdomen.