Spectrum of Clinical Presentations in Different Variants of Acute Appendicitis

Acute appendicitis is the commonest abdominal emergency. It is mainly a disease of teenagers and young adults affecting the most productive section of the population. So prolongation of morbidity due to negative laparotomy is unwanted and at the same time delay in diagnosis of acute appendicitis is apprehended. The present study was conducted on 75 histologically proved cases of acute appendicitis. Detailed clinical, morphological and histopathological features were studied. Abdominal pain was present in all patients and right iliac fossa was the usual site of abdominal pain. A significant number of cases reported a migration of pain to right iliac fossa from periumbilical region. Nausea and vomiting were other common symptoms. Tachycardia and pyrexia were more prominent in advanced appendicitis cases. Other important clinical features were related with types of appendicitis. Routine histopathology is vital for surgeons to assess their clinical diagnosis, which in the long run will consolidate the base of their clinical experience and enrich the understanding of the pathologies of the appendix as a whole and improve their clinical judgment