Author(s): CleggLamptey JN, Armah H, Naaeder SB, AduAryee NA
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Abstract OBJECTIVES: To determine the normal (non-inflamed) position of the vermiform appendix in Ghana and carry out a pilot study to test the hypothesis "The retrocaecal appendix is less prone to inflammation". DESIGN: Retrospective autopsy study. SETTING: The pathology department and the department of surgery theatres of the Korle Bu Teaching hospital in Accra, Ghana SUBJECTS: Consecutive autopsies and inflamed appendices at appendicectomy. Deaths occurring from untreated appendicitis were excluded from the autopsy study. Conversely non-inflamed appendices and appendices from interval appendicectomy were excluded from the appendicitis study. RESULTS: There were 1358 autopsies and 323 inflamed appendices. In the autopsy study the retrocaecal position was the most common (914 [67.3\%]). Other positions were pelvic (294 [21.6\%]), preileal (66 [4.9\%]), postileal (51 [3.8\%]) and paracaecal (33 [2.4\%]). These positions were similar in males and females. The positions of 323 inflamed appendices were: retrocaecal (183 [56.7\%]), pelvic (66 [20.4\%]), preileal (20 [6.2\%]), postileal (15 [4.6\%]) and paracaecal (39 [12.1\%]). Comparing the nonretrocaecal to the retrocaecal position by chi square, the non-retrocaecal position was more prone to inflammation (p<0.001). CONCLUSION: The position of the normal appendix in Ghana differs from Western literature. The retrocaecal position appears less prone to inflammation in Ghanaians.
This article was published in East Afr Med J
and referenced in Emergency Medicine: Open Access