NEGATIVE APPENDECTOMIES ARE MORE COMMON IN FEMALES OF REPRODUCTIVE AGE GROUP

  • Zahid Ali Liaquat University of Medical and Health Sciences, Hyderabad Pakistan
  • Muhammad Rahil Khan Liaquat University of Medical and Health Sciences, Hyderabad Pakistan
  • Riyasat Ahmed Memon Liaquat University of Medical and Health Sciences, Hyderabad Pakistan
  • Ikram Din Ujjan Liaquat University of Medical and Health Sciences, Hyderabad Pakistan
  • Fida Hussain Liaquat University of Medical and Health Sciences, Hyderabad Pakistan
  • Zainab Nisar Liaquat University of Medical and Health Sciences, Hyderabad Pakistan
Keywords: Acute appendicitis, Appendectomy, Negative appendectomy

Abstract

Objective: To compare the negative appendectomy in the females of reproductive and non-reproductive age groups.

Study Design: Cross-sectional study.

Place and Duration of Study: Department of Pathology, Diagnostic and Research Laboratory, Liaquat University of Medical and Health Sciences, Hyderabad, Pakistan, from January 2018 to December 2019.

Methodology: A total of 1126 appendectomy specimens were enrolled irrespective of age and gender. The biodata of patients was retrieved from the database. Statistical analysis was done using SPSS version 22.

Results: Out of total 1126 reported cases, 787 (69.9%) were males and 339 (30.1%) were females. The mean age was calculated to be 24.43 ± 12.42 years ranging from 2-94 years. Histopathological examination revealed cases of acute appendicitis 374 (33.2%), acute appendicitis with peri-appendicitis 478 (42.5%), fibrous obliteration 28 (2.5%) and parasitic infestation 7 (0.6%). Overall negative appendectomies were 219 (19.4%) and were prominent in females 100 (29.5%) than males 119 (15.1%). Also it was higher in females of reproductive age group 77 (30.4%) than in non-reproductive age group 23 (27.9%).

Conclusion: In our study negative appendectomy in females of reproductive age groups was found to be higher than expected. Clinical scoring systems, biochemical markers, imaging modalities, and second opinion from other specialties like internal medicine, gynae and obstetric have been introduced to substantiate the diagnosis of acute appendicitis and thereby decreases the negative appendectomy.

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Published
2021-12-30
How to Cite
Ali, Z., Khan, M. R., Memon, R. A., Ujjan, I. D., Hussain, F., & Nisar, Z. (2021). NEGATIVE APPENDECTOMIES ARE MORE COMMON IN FEMALES OF REPRODUCTIVE AGE GROUP. PAFMJ, 71(6), 2011-14. https://doi.org/10.51253/pafmj.v6i6.4630
Section
Original Articles