ABSTRACT

Objective: To evaluate the most common complication of acute apeendicits anomg patients presented with complicated acute appendicitis at tertiary care Hospital.

Subjects and Methods: This case series study was conducted at surgical unit II of Liaquat University Hospital Jamshoro, from 10th October 2010-9th October 2012. Total 100 patients of complicated appendicitis, age >12 years and either of gender were included. All patients were subjected to ultrasound examination to exclude any other associated pathology of acute appendicitis. Most complications were diagnosed pre operatively while some are diagnosed per operatively. A self-made proforma was used to collect the data. The data was analyzed via SPSS version 20.

Results: Total one hundred patients of appendicular complications were evaluated, their mean age was 27.28+9.70 years amd males were in majority as 65%. Pain was the commonest symptom including anorexia, nausea and vomiting. Fever was found in almost all of the patients, followed by 25% tenderness and rebound tenderness during palpation, 10% muscular guarding, 35% abdominal Bloating and 30% mass formation. Most common complication of acute appendicitis was the perforation in 35% patients, 30% appendicular mass, appendicular abscess 25%, gangrenous appendix 07% and intestinal obstruction 3%. As per intraoperative findings, 33% cases had localized peritonitis and perforated appendix, 25% had intra-abdominal peritonitis + inflamed appendix, 30% had RIF mass + inflamed appendix, 03% had adhesions + inflamed appendix and 7% had inflamed + gangrenous appendix.

Conclusion: Perfortion of appendix, appendicular mass and appendicular abcess were found to be the commones pre-operative complications, while localized peritonitis with perforated appendix and inflamed appendix were the commonest peroerative findings.

Keywords: Appendicitis, complications, perforation