Variation in Anatomical Position of Vermiform Appendix in 100 operative cases among North Indian Population

Abstract

Acute Appendicitis is the most common abdominal surgical emergency. Luminal obstruction of the appendix progresses to suppurative inflammation and perforation, which causes generalised peritonitis or an appendix mass/abscess. Classical features include periumbilical pain that migrates to the right iliac fossa, anorexia, fever, and tenderness and guarding in the right iliac fossa. Atypical presentations are particularly common in preschool children. A clinical diagnosis is possible in most cases, after a period of active observation if necessary; inflammatory markers and an ultrasound scan are useful investigations when the diagnosis is uncertain. Treatment is by appendectomy after appropriate fluid resuscitation, analgesia and intravenous antibiotics.its different positions presents with different clinical presentation this will leads to misdiagnosis appendicitis with other medical or surgical conditions and diagnosis will be delayed.