Histopathological Diagnoses of Appendectomy Specimens

Abstract

Thisresearch aims to assess the different histopathological diagnoses of appendectomy specimens to identify unusual factors for appendicitis and compare them to other reports. The research was conducted at Al Khanssa Teaching Hospital in Mosul, Iraq, in the Department of Pathology. Between January 2019 and December 2020, the histopathology department collected a total of 287 appendicectomy specimens. Both emergency and interval appendicectomies for clinically suspected appendicitis, as well as incidental appendicectomies for other procedures, were included in the study. Clinical data that was relevant was recovered. It was discovered that the results were disgusting. Specimens were fixed in 10% formalin, processed with routine tissue processing and paraffin embedding, and parts of 5-micrometer thickness were obtained. The staining was done with hematoxylin and eosin. Based on the data, histopathological diagnoses were suggested. A total of 287 appendicectomy specimens were received in the pathology department for an 18-month study period. There were 171 males and 116 females among these patients, resulting in a male to female ratio of 1.5:1.]. Acute appendicitis was seen in most cases (153 out of 287), followed by recurrent appendicitis (112 cases), appendicular abscess (18 cases), and perforated appendix (10 cases) (02 cases). In the current analysis, unexpected results were found in about 4 out of 287 cases. Both pre-operative investigations yield non-specific results, and the final diagnosis is made only after histopathology. And if there is any unusual/co-existing pathology, histopathology is still used to validate the diagnosis.