Arunabha Sinha1, Arjun Cukkemane2, Vinod Saini
BACKGROUND
The relationship of the various positions of appendix to its clinical picture and course in the patient is a subject of controversy. The objective is to study the correlation between anatomical position of appendix and its varied clinical presentation and also to determine the frequency of different positions of appendix in operated cases of acute appendicitis.
MATERIALS AND METHODS
This study was conducted from Nov 2012 to April 2014 for a period of 16 months in MVJ Medical College and Research Hospital, Hoskote, Bangalore. There were 150 cases in the study, which were histopathologically positive for appendicitis.
RESULTS
There were total of 150 cases. The commonest position of the appendix is retrocaecal (67.3%) followed by pelvic (16%), preileal (7.3%), post-ileal (4.6%), paracaecal (2.6%), subcaecal (1.3%) and subhepatic (0.6%). Certain positions like fixed retrocaecal, pelvic and post-ileal presented more often atypically.
CONCLUSION
There is no increased predisposition for any of the position of the appendix to get inflamed. Complications were more common in cases fixed retrocaecal, post-ileal and pelvic appendix. The patients with the above positions presented more often atypically than typically and with subtle signs and symptoms leading to delayed diagnosis and increased complications.
KEYWORDS
Appendix, Retrocaecal, Tenderness, Right Iliac Fossa.
