APPENDICECTOMY IN CHILDHOOD: PATHOLOGY FOUND
- 1 June 1987
- journal article
- research article
- Published by Wiley in Anz Journal of Surgery
- Vol. 57 (6), 381-385
- https://doi.org/10.1111/j.1445-2197.1987.tb01380.x
Abstract
A review of the operation and pathology reports from 500 consecutive childhood appendicectomies by one surgeon revealed true acute appendicitis in 64% of patients, other pathology in 19.8% and normal operation findings and histology in 16.2%. When a normal appendix was found at operation, search of the adjacent peritoneal cavity produced a positive yield in 14% of searches, including abnormality in the small bowel in 4%, in the omentum or mesentery in 3% and in the female pelvic organs in 7%. Of appendices deemed normal by the surgeon 8.7% were histologically inflamed and of those deemed inflamed by the surgeon 3.5% were histologically normal. These figures emphasize the need for a more critical approach to the diagnosis of appendicitis both pre- and peroperatively and of the importance of histological examination of the organ.Keywords
This publication has 8 references indexed in Scilit:
- ACUTE APPENDICITISAnz Journal of Surgery, 1981
- AN ANALYSIS OF THE PATHOLOGY OF 3003 APPENDICESAnz Journal of Surgery, 1981
- Viscid faecal masses and acute appendicitisBritish Journal of Surgery, 1981
- Acute appendicitisThe American Journal of Surgery, 1981
- The value of the leucocyte count in the diagnosis of acute appendicitisBritish Journal of Surgery, 1976
- An assessment of the value of the white cell count in the management of suspected acute appendicitisBritish Journal of Surgery, 1975
- THE POLYMORPHONUCLEAR LEUCOCYTE COUNT AS AN AID TO THE DIAGNOSIS OF ACUTE APPENDICITISThe Medical Journal of Australia, 1969
- Acute appendicitis—When is it right to be wrong?The American Journal of Surgery, 1964