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https://hdl.handle.net/2440/76293
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DC Field | Value | Language |
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dc.contributor.author | Chandrasegaram, Manju D. | en |
dc.contributor.author | Rothwell, Lincoln Alastair | en |
dc.contributor.author | An, Ethan I. | en |
dc.contributor.author | Miller, Rose J. | en |
dc.date.issued | 2012 | en |
dc.identifier.citation | Australian and New Zealand Journal of Surgery, 2012; 82(11):844-847 | en |
dc.identifier.issn | 1445-1433 | en |
dc.identifier.uri | http://hdl.handle.net/2440/76293 | - |
dc.description.abstract | Background: Debate surrounds the management of the macroscopically normal appendix. Current literature recommends its removal given the high incidence of microscopic appendicitis, and other unusual pathologies in the normal-looking appendix. Negative appendicectomies are reported on the decline with increased use of diagnostic radiological adjuncts. Methods: This study analysed pathologies of the appendix over 10 years in the Pathology Department in Canberra. A positive appendicectomy was defined as acute appendicitis, faecoliths, worms, endometriosis or appendiceal tumours. We reviewed the positive appendicectomy rate over this time period. Results: There were 4670 appendicectomy specimens in 2386 males (51.1%) and 2284 (49%) females. The incidence of acute appendicitis was 71.3% and the positive appendicectomy rate was 76.3%. There were significantly fewer negative appendicectomies in males (16.8%) compared with females (31.0%). There was no appreciable change in this trend over the study period. Of the positive appendicectomies, there were 129 (3.6%) faecoliths. Of these, only 39.5% had concomitant appendicitis. There were 44 (1.2%) specimens identified with worms. Of these, 40.9% had concomitant appendicitis. There were 14 cases of endometriosis of the appendix of which 36% had concomitant appendicitis. There were 58/3562 (1.6%) appendiceal tumours within the positive appendicectomy group the majority of which were carcinoid tumours (65.5%). Conclusion: There is a higher incidence of negative appendicectomies in women compared with men, which is similar to other published studies. Faecoliths and worms are a known cause of appendiceal colic and in our series were identified mostly in the absence of histological evidence of appendicitis. | en |
dc.description.statementofresponsibility | Manju D. Chandrasegaram, Lincoln A. Rothwell, Ethan I. An and Rose J. Miller | en |
dc.language.iso | en | en |
dc.publisher | Blackwell Science Asia | en |
dc.rights | © 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons | en |
dc.subject | appendicectomy; appendix; endometriosis; faecoliths; worms | en |
dc.title | Pathologies of the appendix: a 10-year review of 4670 appendicectomy specimens | en |
dc.type | Journal article | en |
dc.contributor.school | School of Medical Sciences : Anatomy and Pathology | en |
dc.identifier.doi | 10.1111/j.1445-2197.2012.06185.x | en |
Appears in Collections: | Pathology publications |
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