Frequency of Perforated Appendix in Acute Appendicitis in Ayub Teaching Hospital Abbottabad

Objective: Our study's goal is to ascertain how frequently patients with acute appendicitis who are hospitalized to Ayub Teaching Hospital in Abbottabad have perforated appendices. Even though perforated appendices are frequent in Pakistan, not much research has been done on the topic. Study design: Descriptive, cross sectional study. Settings: Department of Surgery, Ayub Teaching Hospital, Abbottabad. Study duration: January 2025 to June 2025. Methodology: Total 145 patients between the ages of 10 and 60 who had acute appendicitis were included, regardless of gender. We excluded acute abdominal discomfort from any other cause, such as acute pancreatitis, peritonitis, intestinal blockage or perforation, or any visceral perforations. A thorough medical history, physical examination, and standard laboratory tests were conducted. The surgeries were performed by a single surgeon who detected the presence and absence of a perforated appendix. Results: The study's participants ranged in age from 10 to 60, with a mean age of 37.12 ± 11.24 years. 78 patients, or 53.79% of the total, were between the ages of 36 and 60. With a male to female ratio of 1.3:1, 82 (56.55%) of the 145 patients were men and 63 (43.5%) were women. 44 (30.34%) of the patients in our study had a ruptured appendix as a result of acute appendicitis. Conclusion: Appendix perforation is still a serious side effect of acute appendicitis that can affect patient morbidity and clinical outcomes.