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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comparative Study Between Obstructive and Non‐Obstructive Appendicitisusing Clinical and Operative Findings

P. Chaitanya Kumar Reddy, K. Suhas Chaitanya, P. Vineela, N. Venkata Harish and Kastoori Sai Sudeep
Page: 228-232 | Received 20 Jun 2024, Accepted 11 Aug 2024, Published online: 15 Aug 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.9.228.232

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Abstract

Appendicitis is the leading cause of severe abdominal pain and is more prevalent in males, with a lifetime risk of 8.6%, compared to 6.7% in females. The primary cause of appendicitis is believed to be block age of the append ixlumen, which leads to increased mucous secretion and bacterial growth. This sequence of events increases pressure within the appendix, eventually causing tissue death and possibly leading to rupture. To compare the clinical presentation, demographic characteristics and operative findings of obstructive and non‐obstructive appendicitis in order to identify distinguishing features and improve diagnostic accuracy. This was a Prospective Observational Study done in the Department of General Surgery, Narayana Medical College and Hospital, Nellore for a period of one year from December 2022 to December 2023. For obstructive appendicitis, the age range was from 6‐74 years, with a mean age of 37.14 years. The sex distribution included 14 males and 8 females. In contrast, the non‐obstructive appendicitis group had a mean age of 25.19 years (SD ±16.43 years) and consisted of 18 males and 8 females. A significant finding was the higher presence of Fecalith in obstructive appendicitis cases (42.9%) compared to non‐obstructive cases (6.7%), with a p‐value <0.001.Significant difference is observed in the "5‐6 (Moderate) and "7‐10 (High)" score ranges, where obstructive appendicitis cases are more likely to have higher scores compared to non‐obstructive cases. This result suggests that the Mantrels score is a useful tool for distinguishing between obstructive and non‐obstructive appendicitis.

How to cite this article:

P. Chaitanya Kumar Reddy, K. Suhas Chaitanya, P. Vineela, N. Venkata Harish and Kastoori Sai Sudeep. A Comparative Study Between Obstructive and Non‐Obstructive Appendicitisusing Clinical and Operative Findings.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.228.232
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.228.232