AI Summary & Key Takeaways
AI InsightNormal appendix was found in 0.6% and non-appendicitis pathologies in 1.5% (n=33) of patients.Conclusion: Despite advances in radiological imaging a significant number of malignancies and other diagnoses might be detected in patients operated for acute appendicitis; therefore, histopathological analysis of appendicectomy specimens is of great importance.
📌 3 Key Takeaways
Abstract
Aim: The aim of the present study was to evaluate patients who were operated due to acute appendicitis and who were later determined to have non-appendicitis pathologies.Methods: The demographic characteristics, histopathological results existence of perforation, complications and the length of hospital stay were recorded. The data of the patients who were determined to have histopathological results other than acute appendicitis were analyzed.Results: A total of 2112 patients, who underwent surgery due to acute appendicitis were included in the study. Sixty-seven-point-five percent of the patients were male (n=1426). The average age was 33.6±12.9 years and the median age was 30 (19-90) years. The patients were divided into two groups as those under the age of 30 (Group 1) and above the age of 30 (Group 2). No significant differences were detected between the two groups in terms of histopathological diagnoses, perforation, complication and length of hospital stay. Normal appendix was found in 0.6% and non-appendicitis pathologies in 1.5% (n=33) of patients.Conclusion: Despite advances in radiological imaging a significant number of malignancies and other diagnoses might be detected in patients operated for acute appendicitis; therefore, histopathological analysis of appendicectomy specimens is of great importance.
Özet
Amaç: Bu çalışmada akut apandisit nedeniyle ameliyat edilen ancak apandisit dışı patoloji saptanan hastaları değerlendirmek amaçlandı. Yöntemler: Akut apandisit nedeniyle 2009-2014 yılları arasında acil cerrahi girişim uygulanan hastaların dosyaları retrospektif olarak incelendi. Terminal patolojisi akut apandisit dışında saptanan olguların verileri değerlendirildi. Bulgular: Akut apandisit nedeniyle ameliyat edilen ve kayıtlarına ulaşılabilen 2112 hasta çalışmaya dahil edildi. Hastaların %67,5’i erkekti (n=1426). Yaş ortalaması 33,6±12,9, ortanca yaş 30 (19-90) saptandı. Hastaların %1,7’sinde (n=36) apandisit dışı patolojiler (örneğin; nöroendokrin tümör, enflamatuvar bağırsak hastalığı, mukosel vs.) olarak saptandı. On olguda patoloji nöroendokrin tümör, yedi olguda müsinöz neoplazi, üç olguda müsinöz adenokarsinom, üç olguda mukosel ve 10 olguda enflamatuvar bağırsak hastalığı ile uyumlu olarak saptandı. Sonuç: Radyolojik görüntüleme yöntemlerindeki tüm gelişmelere rağmen akut apandisit nedeniyle opere edilen hastalarda hala azımsanmayacak bir oranda malignite ve diğer tanılar saptanabilmektedir. Bu nedenle ameliyat sonrası histopatolojik sonuçlar yakın takip edilmelidir.