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Volume 13 Issue 9 (September) 2024

Original Articles

Morphological variation in the anatomy of Vermiform appendix: A cadaveric study
Kamaljeet Kaur, Anureet, Harpreet Singh Gulati, Jasveen Kaur, Sherry Sharma, Ambica Wadhwa, Deepanshi Prashar, Mamta Sharma

Introduction: Acute appendicitis is the most common cause of acute abdomen. Knowledge of the variations in the position of the vermiform appendix is important because, in appendicitis, its variable positions may produce variable symptoms and signs which mimic other diseases The length of the vermiform appendix is important in influencing the differential diagnosis of acute abdomen Owing to this issue, present study was planned to determine the anatomical locations of the appendix, its length and span, and status of mesoappendix (complete or incomplete), on the cadavers obtained during routine dissection in the department of Anatomy, PIMS, Jalandhar. Material & Methods: The present study was done on 30 human cadavers obtained during routine dissection in the department of Anatomy, Punjab institute of medical sciences, Jalandhar. Subjects with any gross abnormalities of abdominal organs, fibrosis, kinking or adhesions was excluded from study. Result: The percentage of position of vermiform appendix was 45% pelvic, 40% subcaecal, 10% pre ileal and 5% post ileal. Retrocaecal, paracaecal and subileal varieties were not found. Mean length of appendix was found to be 5.7cm in males and 4.9cm in females in our study. Incidence of mesoappendix extending upto tip was 90% in our study and in 10% cases mesoappendix was not reaching tip of appendix. Conclusion: Appendicitis should always be considered as a differential diagnosis in acute abdomen even when pain and tenderness do not originate from right iliac fossa. Location of appendix is important when it comes to clinical presentation of patients with appendicitis.

 
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