Abstract: Acute appendicitis constitutes one of the most common surgical conditions, and the significance of uniquely related clinical entities in the diagnosis remains controversial. It is a disease of the children and young adults but covering all the age groups. This study aims to ascertain the various lesions of the appendicectomy specimen in a tertiary hospital setting, northwestern of Cameroon.
METHOD: This retrospective cross-sectional descriptive study was conducted to do a critical appraisal on the histopathology reports of all appendectomy specimens submitted to the Pathology department, Central Laboratory of a Tertiary Hospital, Northwestern region of Cameroon from January 2011 to January 2016. Patient's socio-demographical data, clinical presentations were extracted from the request form. The data were analyzed using SPSS version 22, thereafter presented with descriptive and inferential statistics.
RESULTS: During the 5-year study period under review, an estimated 683 appendicectomy specimens were received, constituting about 12% of the overall total samples. The age of patients in this study is ranged between 14 and 78 years, with an overall interquartile median of 20.12 ± 5.12 years. Histopathologically confirmed acute appendicitis was found in 86.9% of our cases, while other lesions constitute 13.1%, and negative appendectomy occurred in 4.5% of the cases.
CONCLUSION: The incidence of acute appendicitis remains low, especially in the rural communities of Africa. We, therefore, conclude that the current study spanned the entire gamut of pathological processes that involve the appendix and provides a fair idea about the clinicopathological correlation in appendectomy specimens.
Keywords: Acute abdomen; Appendix; Appendectomy; Histology; Tertiary-hospital setting.
Title: Clinicopathological Review of Appendicectomy Specimen in a Tropical Mission Hospital: A Cross-Sectional Cohort Study
Author: Alegbeleye Bamidele Johnson, Adisa Charles Adeyinka
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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