Here, we introduce the symptoms, laboratory results, CT findings, and histological examination findings of two adult patients with fibrous obliteration of the appendix. Due to similar clinical symptoms and CT findings, fibrous obliteration of the appendix can easily be mistaken as an acute appendicitis. This condition is called fibrous obliteration of the appendix, which is a condition that involves replacement of the mucosa and submucosa with fibrotic tissues. We recently experienced two rare cases of appendiceal conditions, which were uncommon to our radiologists and clinicians. Acute appendicitis is the most frequent appendiceal disease, but some chronic inflammatory conditions can mimic it on computed tomography (CT). 3 In some cases, fibrous obliteration of. | Cho, SH | Kim, GC | Bae, JH | Park, JY | Cheon, JM Citation Journal of the Korean Radiological Society, 70(6). The most common unusual causes were parasites (37%) led by schistosomiasis (24.3%), followed by neoplasm (20%) and fibrous obliteration (14.2%).Īlthough uncommon (5.3%), the unusual causes of appendicitis may result in an adverse patient outcome and/or require specific treatment that may be overlooked if histopathology reports are not checked routinely.Other Title 급성 충수돌기염으로 오인된 충수돌기의 섬유성 폐색증(Fibrous Obliteration): 2예 보고 Authors Choi, SJ | Jang, YJ | Lee, D The most common pathologic finding was fibrous obliteration.
#Fibrous obliteration of appendix free
Of the 2244 specimens analysed the mean age was 25, 6 years (2-88yrs) and the gender distribution was 61.9 % males and 38.1% females. The appendix was excised once the mesoappendix was isolated and free tied with 0-chromic. From the 2244 specimens analyzed, 8.1%, 52.7% and 30.1% were due to normal appendix, acute appendicitis and complicated appendicitis respectively, and the incidence of unusual histopathology findings was 5.3% (119/2244). of so-called fibrous obliteration actually represent appendiceal neuroma. 164 specimens were excluded because they were part of colonic resection for conditions unrelated to the appendicitis. randomly selected cases of appendices diagnosed as fibrous obliteration. All specimens were examined by the National Health Laboratory Services (NHLS).Ī total of 2408 histopathology results were obtained from the national health laboratory system. To determine the incidence and type of unusual histopathology of the appendix.Ī retrospective review of histopathology reports of appendix specimens obtained during appendectomies done between January 2012 and December 2014 in the three academic hospitals of Johannesburg (CHBAH, CMJAH, and HJH).
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