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Year : 2020  |  Volume : 23  |  Issue : 2  |  Page : 99-102

Evaluating the benefit of incidental appendectomy

Department of Histopathology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria

Correspondence Address:
Dr. Ikponmwosa Obahiagbon
Department of Histopathology, University of Benin Teaching Hospital, Benin City, Edo State
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DOI: 10.4103/smj.smj_62_17

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Background: Surgeons sometimes perform appendectomies during abdominopelvic surgeries for surgical conditions unrelated to the appendix. A retrospective study of the histopathological diagnoses of incidental appendectomy specimens was performed to see the value of this practice. Materials and Methods: Records of incidentally resected appendices submitted to the Histopathology Department of the University of Benin Teaching Hospital from January 2005 to December 2014 were reviewed retrospectively. Results: A total of 129 histopathological reports of incidental appendectomy were retrospectively reviewed; 67 (51.9%) of the patients were male and 62 (48.1%) were female, giving a male-female ratio of about 1.1:1. Fifty-four cases (41.9%) had histologically normal appendices, while 75 cases (58.1%) had various histopathologically demonstrable lesions ranging from acute appendicitis (the most frequent with 27%) to neoplasia (one case of mucinous adenocarcinoma). Conclusion: Significant pathology can be uncovered on histopathological examination of the clinically normal appendix. Incidental appendectomy is thus a useful procedure.

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