IJCRR - Vol 05 Issue 14, July, 2013
Date of Publication: 29-Jul-2013
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STUDY OF LUMEN CONTENT OF VERMIFORM APPENDIX AND ITS CLINICAL CORRELATION: 100 CASES
Author: Chaudhari ML, Patel JP, Nirvan A, Kanani S
Abstract:Aim: The purpose of this study is to correlate content of lumen of vermiform appendix and causes responsible for appendicitis. Methods: Total 100 cases content of lumen of vermiform appendix is observed in the department of Anatomy, Smt N.H.L Municipal Medical Collage Ahmedabad.In which 70 cases of cadaver during 2009 to 2012. Results: Out of 100 cases we find 40% lumen of the appendix is empty in 40%, feces 24%, pus 23% and whitish material 13%. Conclusion: Obstructive acute appendicitis result due to Faecolith, foreign body, Parasite in the lumen of the vermiform appendix. Present study help surgeon and radiologist in clinical diagnosis of appendicitis.
Keywords: appendix, appendicitis, appendix lumen content variation.
The Vermiform appendix present only in human beings, certain arthropod apes and the wombat (a nocturnal, burrowing Australian marsupial) was probably first noted as early as the Egyptian civilization (3000 B.C). During the mummification process, abdominal parts were removed and placed in Coptic jars with inscriptions describing the contents as “worm of the intestines” were discovered1 . The Vermiform appendix is considered by most to be a vestigial organ, its importance in surgery due mainly to its propensity for inflammation that results in the clinical syndrome known as acute appendicitis. Acute appendicitis is the most common cause of “acute abdomen” in young adolescents and appendectomy is often the first major procedure performed by a Surgeon in training 2,3,4 . Obstruction of the lumen is the dominating factor in acute appendicitis. Fecaliths are the usual cause of appendiceal obstruction. Less common is hypertrophied tissue, inspissated barium from previous X-rays, vegetable, fruit seed, worms (Entrobius vermicularis, Balantidum Cali, Schistosoma haematobium) 5,6
MATERIAL AND METHOD
This present study was conducted in the anatomy department of Smith N. H. L Municipal Medical Collage of Ahmedabad. The study includes 70 cases from cadaver and 30 cases from the post Mortum room, during the routine dissection in first mobs batch. For the dissection guideline we use cunnighalm volume two7 . We don’t do correlation with cadaver and postmortem cases. We cut lumen of vermiform appendix at maximum thickness and we find following as the content of the vermiform appendix. 2009 to 2012. RESULT In 100 cases of study 70 from cadaver and 30 from postmortem room. we fine 40% lumen of the appendix is empty (Figure;1), 24% feces (Figure; 2), 23%pus (Figure;3) and 13%whitish material (Figure;4)