Causes of Increased Limb Amputations during Current War in Taiz–Yemen (2016-2019)

Abstract

Acute Appendicitis is the most common general surgical emergency worldwide, but its clinical diagnosis remains challenging and may be delayed particularly in young women_. The diagnosis of appendicitis based on detailed history and physical examination, application of scoring systems and inpatient clinical observation, correlated with laboratory and imaging investigation. However, this is not always an easy task. Currently no gold standard diagnostic measures available that can accurately diagnosed appendicitis. The absolute diagnosis of acute appendicitis is after surgery and histopathological examination.

As we are living in a war city with low investigation resource we need to study the clinical and histopathological features of acute appendicitis among patients who underwent open appendectomy in Al- Thawra hospital Authority, Taiz to assess our clinical assessment of acute appendicitis by get feedback from histopathological exam.

           This is a prospective, cross section descriptive, hospital based study, was conducted in Authority of Al Thawra Hospital -Taiz. 104 patients with acute appendicitis, who underwent open appendectomy from December2019 to April 2020 were enrolled in this study. It was performed using the SPSS program version 24.

The frequency of acute appendicitis represented 36.44% of all indications for emergency operation.73 (70.2%) of the patients were males, with a male-to-female ratio of 2.3:1 The mean age of the study patients was found to be 22.16, abdominal pain was the most common presentation 100%, local tenderness and rebound tenderness were the most common presentation, WBC was >10000 in 63 (60.6%) patients, Neutrophil was >70 in 78(75%) patients. By histopathology negative appendectomy was in 12 (11.5%) patients.

So clinical diagnosis should be the main method for diagnosis acute appendicitis.