Histopathological finding on appendectomy at tertiary care center

Introduction: Acute appendicitis is one of the most common acute abdominal problem that needs surgical intervention. Emergency appendectomy is one of the most common surgical procedure performed worldwide in department of general surgery. Diagnosis of acute appendicitis is often difficult and requires a combination of clinical, laboratory, and imaging studies. Ultrasound is commonly used as a first line diagnostic tool, with a high sensitivity and specificity. Computerized Tomography is also done whenever dilemma in diagnosis. This study aims to explore the histopathological findings of appendix after appendicectomy at Rapti Academy of Health Sciences (RAHS). Methods: Retrospective, registry based data conducted on appendix specimens of patients who underwent appendicectomy for acute appendicitis from September 2023 to September 2024. Similarly, other study variables have been extracted from the record file maintained at the medical record section of RAHS. A total of 260specimensof appendix examination were found in hospital record and patient’s age above 15 years were included. Incomplete case with missing data was excluded. Results: The majority of the patients were 15 to 25 years of age, male were higher than female in numbers. The major histopathological findings was benign and in female it was 53.0%. Malignant condition in female were lesser than male. The benign condition was highest and Low Grade Appendiceal Mucinous Neoplasm (LAMN) condition was lesson histopathological findings of appendix. Conclusion: The study concluded that majority of the patients were between 15 to 25 years of age where male were54.8%and female45.2%. The majority of the histopathological finding of the appendix were benign, in female it was 53.0% and in male 47.0% respectively. In malignant condition female was 42.9% and male 57.1% respectively. Keywords: Appendectomy, Histopathological, LAMN, RAHS