Demographic and histological profile of appendicectomy specimen in a tertiary care teaching hospital in garhwal, uttarakhand

Introduction: Appendicitis is a medical emergency which requires prompt attention and is usually accompanied by significant morbidity and mortality.
Materials and Methods: In this retrospective study archived data and slides for the period January 2015 to August 2018 were retrieved. The H-E stained slides were examined and gross and histological findings, age and gender were also recorded.
Results:57.57% (114/198) of the received specimen were from males.30.30% (60/198) were from the age group 11-20 years and 25.76% (51/198) in the age group 21-30 years. Histologically confirmed acute appendicitis was seen in 21.21% (42/198). 3.03% (6/198) of the cases showed peri-appendicitis. Of these 66.66% (4/6) were seen in males. Necrosis of the whole wall (and perforation on gross examination) was seen in 9.59% (19/198) of cases. 73.68% (14/19) of the cases of perforation were male. 42.10% (8/19) of the cases of perforation was seen in 11-20 years age group and 31.58% (6/19) in the 21-30 years age group.68.42% (13/19) of cases of lymphoid hyperplasia were male. 47.37% (9/19) of cases of lymphoid hyperplasia were in the 11 –20 years age group.15.15% (30/198) of the cases showed varying degree of fibrosis.35.86% (71/198) of the appendix specimen were of apparently normal histopathology. 53.53% (38/71) of these normal appendixes were from females.
Discussion/Conclusion: Inflammatory pathology of appendix predominantly affects males and younger age group. Normal appendix is removed predominantly in females in reproductive age group.