Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Study to Correlate Different Anatomical Positions of the Appendix by Clinical Examination, USG Findings with Intra‐Operative Findings and Sequelae Associated with Respect to it in KIMS, Hubli
R. Vinayak Byateppanavar, Vasant Kumar Teggimani, H.P. Pratheeksha and Mallik Arjun Anand Rao Chalmal
Page: 294-303 | Received 20 Jun 2024, Published online: 17 Aug 2024
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Abstract
The objective was to correlate different anatomical positions of the appendix by clinical examination, use findings with intro operative findings and to correlate different anatomical positions of appendix in appendicitis with its complications observed during appendicectomy. A Prospective study was conducted in the Department of General Surgery at Karnataka Institute of Medical Sciences, Hubli during the period from January 2021‐2023 with calculated sample size of 100. The inclusion criteria included patients diagnosed with appendicitis with clinical examination, USG findings are operated in the department of surgery, Kims Hubli during the study will be included. Patients of age between 12 to 60 years and the Exclusion criteria were Age<12 years and >60 years, Patients with no consent for the study. Case of appendicular mass, managed conservatively. Acute appendicitis was more common between 16‐25 years of age Acute appendicitis in male had preponderance with ratio of 1.3:1. Right iliac fossa pain was a leading symptom followed by vomiting and fever were seen in all positions. Urinary symptoms were most seen in Subcaecal position Bowel disturbances were most seen in Ileal position. Blumberg test was elicited in 135 cases, McBurney’s test in 124 cases, Rovsings in 42 cases. Obturator test was elicited in 62.5% of Pelvic position and Psoas test was elicited 66.6% of Retrocaecal position. Accuracy of clinical examination in finding the positions of appendix showed that retrocaecal position is predicted in 76.4% followed by Pelvic position in 46.8% cases and Ileal position in 30.76% cases respectively. Accuracy of USG in finding different positions of appendix correlated retrospectively with Intraoperative findings showed that Retrocaecal positioned appendix showed that Retrocaecal positioned appendix was predicted in 79.4%cases and identified in10.29% cases, Pelvic appendix in 87.5%cases, Preileal appendix in 90.47% cases. USG was accurate in finding Preileal followed by Pelvic positions of appendix. Intraoperative findings showed Retrocaecal appendix in 68 cases (48.5%),Pelvic appendix in 32 cases(22.85%), Preileal appendix in 21 cases(15%), Paracaecal appendix in 10 cases(7.14%),Postileal appendix in 5 cases(3.57%), Subcaecal and Subhepatic appendix in 2 cases each (1.42%). Appendicitis complications are more associated in Post Ileal appendix (80%) followed by Pelvic appendix (78.1%). Diagnosis of appendicitis was made using various modalities vis‐à‐vis clinical examination laboratory investigations ultrasonography and intraoperative finding so, the position of the appendix as an implication on the clinical presentation although management doesn’t vary.
How to cite this article:
R. Vinayak Byateppanavar, Vasant Kumar Teggimani, H.P. Pratheeksha and Mallik Arjun Anand Rao Chalmal. A Study to Correlate Different Anatomical Positions of the Appendix by Clinical Examination, USG Findings with Intra‐Operative Findings and Sequelae Associated with Respect to it in KIMS, Hubli.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.294.303
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.294.303