CLINICOPATHOLOGICAL PRESENTATION AND MANAGEMENT OUTCOME OF APPENDICITIS IN GOMBE, NORTH-EAST NIGERIA: A 7-YEAR RETROSPECTIVE AUDIT

Adejumo A.A; Mshelia N.M; Saleh Y.M

Available online Jul 19, 2018.

[ Original ] Volume 24, Issue 4, 2015, Pages 337-343


Abstract

BACKGROUND
Acute appendicitis is a common cause of acute abdomen and right iliac fossa pain in the study centre with attendant
negative appendicectomies.
AIM
To study the demographic pattern,aetiology,clinical presentation and management outcome of appendicitis.
METHODS
This is a retrospective study carried out on patients, who had appendicectomies between January 2007 and
December 2014.A total of two hundred and thirteen (213) cases were operated during the study period. Only one
hundred and forty one (141) folders retrieved. Relevant clinical information were entered in to a proforma designed
for the study. Statistical analysis was done using Epi info (version 3.5.1). Quantitative data were presented in
frequencies and percentages,mean and standard deviations were calculated.
RESULT
Out of the 141 patients, 55(39.0%) were males while 86(61.0%) were females giving a M:F= 1: 1.6 .Their ages range
from 8 to 65 years .The peak age group was 21-30 years.Acute inflammation was seen in 69 (48.9%) patients,lymphoid
hyperplasia in 39 (27.7%) patients while parasitic appendicitis was seen in one (0.7%) patient. Post-operative
complications observed include surgical site infection in 7 (5.0%) patients, delayed wound healing in 11( 7.8%)
patients and enterocutaneous fistula in one( 0.7%) patient.
CONCLUSION
The diagnosis of appendicitis still rests on the pillars of thorough clinical evaluation.The judicious use of modern
diagnostic equipment will reduce the rate of negative appendicectomies.


Keywords

Appendicitis, demography, aetiology, management outcome,

October -December 2015

Volume 24 | Issue 4

Page Nos. 337-343

Online since Jul 12, 2018

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