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Acute appendicitis in Buraidah, Saudi Arabia
1Department of Pathology, University College Hospital, Ibadan, Nigeria.
Objectives:
To compare the clinical diagnosis with the histopathological diagnosis; to highlight associated histological lesions and; to determine whether these provide additional useful information for management.
Design:
Case series.
Setting:
Pathology Department of the King Fahd Specialist Hospital in Buraidah, Saudi Arabia.
Subjects:
370 appendicectomy specimen reviewed within a 12 month period.
Main Outcome Measures:
Diagnostic accuracy of a clinical diagnosis of acute or chronic appendicitis.
Results:
Acute appendicitis was found to be most common between ages 10 to 29 years (74.0%). The diagnostic accuracy was 81%. A higher rate of appendices without histological sign of inflammation was found in females. Incidental appendicectomy was commonly associated with cholecystectomy. Unsuspected but treatable parasitic and protozoal infections were detected in 3% of appendices.
Conclusion:
Routine examination of all appendicectomy specimens cannot be overemphasized, as unsuspected but treatable parasitic on protozoal infections may be detected.
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