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Appendicitis in Dar es Salaam, histological pattern

N A Mbembati1, L E Lema, H A Mwakyoma

  • 1Department of Surgery, Muhimbili University College of Health Sciences of the University of Dar es Salaam and Muhimbili Medical Centre, Tanzania.

The Central African Journal of Medicine
|March 1, 1996
PubMed
Summary
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Histopathological review of 378 appendicectomy specimens revealed acute appendicitis as the most common finding. Chronic appendicitis was also frequent, with rare cases of schistosomal, tuberculous, and mucocele appendicitis observed.

Area of Science:

  • Pathology
  • Surgical Pathology
  • Gastrointestinal Pathology

Background:

  • Appendicitis is a common surgical emergency.
  • Histopathological examination is crucial for diagnosis and understanding appendiceal pathology.
  • Data on appendicitis prevalence in specific regions can inform public health strategies.

Purpose of the Study:

  • To review the histopathology of appendicectomy specimens over a decade.
  • To determine the frequency of various appendiceal pathologies.
  • To compare findings with existing literature.

Main Methods:

  • Retrospective review of 378 appendicectomy specimens.
  • Histopathological analysis of surgical specimens.
  • Data collection from 1985 to 1994 at Muhimbili Medical Centre.

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Main Results:

  • Acute appendicitis: 48.9% (185 cases).
  • Chronic appendicitis: 26.7% (101 cases).
  • Normal appendices: 19.6% (74 cases).
  • Schistosomal appendicitis: 3.5% (13 cases).
  • Tuberculous appendicitis and mucocele of the appendix: 2 cases each.

Conclusions:

  • Acute appendicitis is the predominant diagnosis in appendicectomy specimens.
  • A notable frequency of chronic appendicitis was observed.
  • Histological findings align with general trends, with regional variations in specific conditions like schistosomal appendicitis.