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[Cadaveric topography and morphometry of the vermiform appendix].

J M N Ndoye1, As Ndiaye, Ab Ndiaye

  • 1Laboratoire d'Anatomie et d'Organogenèse, Faculté de Médecine, U.C.A.D, Dakar, Senegal. jmndoye04@yahoo.fr

Morphologie : Bulletin De L'Association Des Anatomistes
|August 23, 2005
PubMed
Summary

This study mapped the anatomical variations of the vermiform appendix (v.a.) in cadavers. Findings reveal common topographic patterns, aiding surgical precision in acute appendicitis cases.

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Area of Science:

  • Anatomy
  • Surgical Anatomy
  • Human Anatomy

Context:

  • Acute appendicitis is common, with potential for anatomical variations in the caecoappendicular region.
  • Understanding these variations is crucial for accurate diagnosis and surgical intervention.

Purpose:

  • To document the topographic variations of the vermiform appendix (v.a.) in a cadaveric population.
  • To analyze the relationship between the appendix, cecum, and surrounding anatomical landmarks.

Summary:

  • The study examined 80 cadavers, noting morphotype, height, and specific anatomical features like the MacBurney point, cecal shape, and appendix dimensions.
  • Results indicated the cecum is typically bulbous and located in the right iliac fossa.
  • Seven topographic variations of the appendix were identified, with anterior positions (68.7%) and pelvic direction (51.2%) being most frequent, often with medial (72.5%) or posteromedial (27.5%) cecal attachment.

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Impact:

  • The vermiform appendix averaged 106.4 mm in length and 6.77 mm in diameter, with its base typically 24.2 mm from the ileocecal junction.
  • This detailed topographic data can enhance surgical planning and improve outcomes for acute appendicitis, particularly in cases with atypical appendix presentations.