IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS

Objective: To determine the impact of endemicity of ascariasis in the manifestation of acute appendicitis. Study Design: Prospective observational study. Place and Duration of Study: General Surgery Department, Combined Military Hospital Skardu, from May 2012 to Apr 2015. Methodology: Patie...

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Autores principales: Naveed Ahmed, Mian Sarfraz Gul, Hafiz Khalid Pervaiz, Iftikhar Ahmed, Mujahid Zulfiqar Ali, Shafaqat Ali
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doaj.org/article/b94d351531f04a8f89c21606739caafc
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spelling oai:doaj.org-article:b94d351531f04a8f89c21606739caafc2021-11-18T03:20:53ZIMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS0030-96482411-8842https://doaj.org/article/b94d351531f04a8f89c21606739caafc2021-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/5694/3574https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the impact of endemicity of ascariasis in the manifestation of acute appendicitis. Study Design: Prospective observational study. Place and Duration of Study: General Surgery Department, Combined Military Hospital Skardu, from May 2012 to Apr 2015. Methodology: Patients presenting with symptoms of acute appendicitis were included in the study. Patients were diagnosed after taking detailed history, clinical examination and blood chemistry. All the patients underwent open appendectomy under general anesthesia. Per-operatively presence of worms was assessed in terminal ileum and after that in the lumen of the appendix initially by palpation and then by opening its lumen after it was removed. Histopathologic diagnosis could not be confirmed due to its non-availability as the surgeries were performed in a remote and resource constraint area of the country. Results: A total of 224 patients were included in the study. Out of these, 143 (63.8%) were male and 81 (36.1%) female patients. The mean age of patients was 22 ± 6 years. Per-operatively, 21 (9.3%) patients had worms in both ileum and appendicular lumen while 22 (9.8%) patients had worms only in the terminal ileum and there were no worms seen in either ileum or appendix in 181 (80.8%) patients. Conclusion: There is a relation of parasitic infestation especially Ascaris lumbricoides in the manifestation of acute appendicitis in endemic areas.Naveed AhmedMian Sarfraz GulHafiz Khalid PervaizIftikhar AhmedMujahid Zulfiqar AliShafaqat AliArmy Medical College RawalpindiarticleappendicitisappendectomyinfestationMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 5, Pp 1567-1570 (2021)
institution DOAJ
collection DOAJ
language EN
topic appendicitis
appendectomy
infestation
Medicine
R
Medicine (General)
R5-920
spellingShingle appendicitis
appendectomy
infestation
Medicine
R
Medicine (General)
R5-920
Naveed Ahmed
Mian Sarfraz Gul
Hafiz Khalid Pervaiz
Iftikhar Ahmed
Mujahid Zulfiqar Ali
Shafaqat Ali
IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS
description Objective: To determine the impact of endemicity of ascariasis in the manifestation of acute appendicitis. Study Design: Prospective observational study. Place and Duration of Study: General Surgery Department, Combined Military Hospital Skardu, from May 2012 to Apr 2015. Methodology: Patients presenting with symptoms of acute appendicitis were included in the study. Patients were diagnosed after taking detailed history, clinical examination and blood chemistry. All the patients underwent open appendectomy under general anesthesia. Per-operatively presence of worms was assessed in terminal ileum and after that in the lumen of the appendix initially by palpation and then by opening its lumen after it was removed. Histopathologic diagnosis could not be confirmed due to its non-availability as the surgeries were performed in a remote and resource constraint area of the country. Results: A total of 224 patients were included in the study. Out of these, 143 (63.8%) were male and 81 (36.1%) female patients. The mean age of patients was 22 ± 6 years. Per-operatively, 21 (9.3%) patients had worms in both ileum and appendicular lumen while 22 (9.8%) patients had worms only in the terminal ileum and there were no worms seen in either ileum or appendix in 181 (80.8%) patients. Conclusion: There is a relation of parasitic infestation especially Ascaris lumbricoides in the manifestation of acute appendicitis in endemic areas.
format article
author Naveed Ahmed
Mian Sarfraz Gul
Hafiz Khalid Pervaiz
Iftikhar Ahmed
Mujahid Zulfiqar Ali
Shafaqat Ali
author_facet Naveed Ahmed
Mian Sarfraz Gul
Hafiz Khalid Pervaiz
Iftikhar Ahmed
Mujahid Zulfiqar Ali
Shafaqat Ali
author_sort Naveed Ahmed
title IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS
title_short IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS
title_full IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS
title_fullStr IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS
title_full_unstemmed IMPACT OF ENDEMICITY OF ASCARIASIS ON DIAGNOSIS OF ACUTE APPENDICITIS
title_sort impact of endemicity of ascariasis on diagnosis of acute appendicitis
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/b94d351531f04a8f89c21606739caafc
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AT iftikharahmed impactofendemicityofascariasisondiagnosisofacuteappendicitis
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