A STUDY TO EVALUATE THE CAUSES OF OBSTRUCTION IN APPENDICITIS

Dr. Sandip Kumar Ghosh; Dr. Ajay Halder; Dr. Madhusudan Saha; Dr. Subrata Sarkar; Dr. Prabir Biswas

Volume : IX, Issue : VII, July - 2020

A STUDY TO EVALUATE THE CAUSES OF OBSTRUCTION IN APPENDICITIS

Dr. Sandip Kumar Ghosh, Dr. Ajay Halder, Dr. Madhusudan Saha, Dr. Subrata Sarkar, Dr. Prabir Biswas

Abstract :

INTRODUCTION Developmentally the appendix is an underdeveloped residuum of the otherwise voluminous caecum. Appendicitis is the commonest abdominal surgical emergency. It is supposed that acute appendicitis is predominantly a disease of the Western world. But cases of acute appendicitis, is gradually increasing in India. There are various reasons of appendicitis. It is now generally considered that, obstruction of the lumen of the appendix is the most important initiating factor of acute appendicitis. The best recognized cause of luminal obstruction of acute appendicitis is a faecolith. Other causes include fiotic stricture, tumor, lymphoid hyperplasia, foreign body, carcinoid tumor. METHOD The study was a hospital based observational descriptive prospective study. The study was undertaken at Burdwan Medical College and Hospital. The purpose of the study was to evaluate the various causes of luminal obstruction of appendix in Appendicitis. Patients with clinical features of appendicitis fulfilling the inclusion criteria were chosen as a study subject. Their detailed history and clinical examination were done for confirmation of diagnosis. Then appendectomy was done and causes were observed and noted. A total number of 92 patients were included in this study. RESULT Among the 92 patients male are 47 and female are 45. Age distribution of this study shows majority of cases (about 70%) fall under age group of 11-30 years old. There are only 3 cases fall under 10 yrs of age. After detailed study of the patients it was found that most common cause of appendicitis is due to appendicular luminal obstruction. Obstruction caused by fecolith, lymphoid hyperplasia, fiotic stricture due to recurrent inflammation of appendix and carcinoma. Fecolith is most common cause (29.34%) of appendicular luminal obstruction and it commonly associated with perforation and appendicular abscess formation. 2nd most common causes of obstruction is fiotic stricture (16.03%) of appendix and it suggests recurrent appendicular inflammation. Only 2 cases has been found due to carcinoma (2.17%).