8/3/2023 0 Comments Fibrous obliterationFibrous obliteration in a 36-year-old female with RLQ pain presented with a distended appendix (9 mm) with periappendiceal infiltration and mass effect on the cecum.The aim of this study is to emphasize the importance of rare histopathological findings in appendix specimens of pediatric patients who underwent surgery for the preliminary (underwent appendectomy to treat an initial diagnosis) diagnosis of acute appendicitis. In this study, the demographic and histopathologic data of 1683 patients who underwent surgery for (presumed acute appendicitis) acute appendicitis between 20 were retrospectively evaluated. Appendectomy specimens were classified microscopically as appendix vermiformis, lymphoid hyperplasia, acute appendicitis, phlegmonous appendicitis, gangrenous appendicitis, perforated appendicitis, and unusual histopathological findings. Age, sex, clinical features, surgical reports, and macroscopic and microscopic features of appendix vermiformis were evaluated in patients with unusual histopathological findings. Ages of these 1683 patients ranged between 6 months and 17 years among them, 1091 were men and 592 were women. Pathology reports included acute appendicitis ( n = 827), phlegmonous appendicitis ( n = 300), lymphoid hyperplasia ( n = 274), perforated appendicitis ( n = 181), appendix vermiformis ( n = 50), gangrenous appendicitis ( n = 3), and abnormal findings ( n = 48). Of the 48 patients who were detected to have unusual findings, 32 were women and 16 were men and their ages ranged from 6 to 17 years.
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