Perspective Study of Elective Appendectomy for Chronic Right Lower Quadrant Pain in Maharashtra Population

  • Shankar Maruti Khadtare Rajashree Chatrapati Shahu Maharaj Government Medical College, Kolhapur, Maharashtra, India
Keywords: Absolute eosinophil count, Appendicitis,, Lymphadenopathy, Ovarian cyst, Salpingitis,, Ultrasound

Abstract

Background: Appendicitis is a quite common problem in all age groups as it is having a narrow lumen and situated in a dependent position, allowing inflammation due to heavy lymphatics in it. Acute appendicitis is the most common cause of an acute abdomen in young and adults. Apart from appendix, many disorders of nearest organs mimic the appendicitis, such as due to ovarian cyst, enlargement of mesenteric lymph node, salpingitis, and inflammation of terminal ileum. Hence, various causes of pain in the right iliac fossa, which mimic as appendicitis, were evaluated.
Materials and Methods: After clinical examinations, symptoms, and signs were assessed. All patients with pain in the right iliac fossa pain were subjected to blood examination CBC erythrocyte sedimentation rate, Hb%, RBS, absolute eosinophil count, ultrasound (USG), and histopathological study (histopathological examination), which were done postoperatively.
Results: The clinical manifestations of patients were 90 (100%) that had abdominal pain or tenderness. Eighty-two (91%) had nausea/vomiting, 80 (88.8%) had a fever, 50 (55.5%) biopsy was normal, and 40 (44.4%) was inflamed. Seventy-two (80%) patients had complete relief, 14 (15.5%) had a remarkable reduction in pain, and 4 (4.44) had unchanged pain.
Conclusion: Laparoscopic surgery should be correlated with radiological and pathological reports. In this study, it can be easier to compare the result of how much benefits patient will have even if the appendix was normal. It will also show how to complete relief from pain in cases of appendicitis and further post-surgical follow-up and repetition of USG/computed tomography scan if the pain is unchanged is an ideal way.

Author Biography

Shankar Maruti Khadtare, Rajashree Chatrapati Shahu Maharaj Government Medical College, Kolhapur, Maharashtra, India

Associate Professor,  Department of Surgery

Published
2020-03-30
Section
Articles