Anatomical deviations in the position of vermiform appendix: the cadaveric study
https://doi.org/10.18699/SSMJ20220303
Abstract
Vermiform appendix is the only organ in the body that has no constant anatomical position. It is so named because of its worm like appearance. Most common surgical cause of abdominal pain is appendicitis; its diagnosis is affected by anatomical variations of the vermiform appendix, because this is the most variable abdominal organ in terms of position and organ relations. Aim of the study was to examine anatomical features and different positions of the vermiform appendix in human cadavers. Material and methods. This study was carried on 45 human cadavers irrespective of sex and age from the Department of Anatomy at Andhra Pradesh over a period of 12 months. Results. Mean length of appendix was found to be 3.98 ± 1.27 cm. Mean outer girth was 2.17 ± 0.26 cm. Mean distance of vermiform appendix from ileocaecal junction was found to be 2.11 ± 0.43 cm. Commonest position was retrocaecal (44 %), followed by pelvic (21 %), postileal (9 %), subcaecal (13 %) and midinguinal (10 %). Conclusions. Variations in position of vermiform appendix will help the surgeons to make a diagnosis of appendicitis and aware about appendiceal rupture.
About the Authors
G. Rajasree
Bhaarath Medical College and Hospital
India
India
Gali Rajasree
600073, Chennai, Agaram Main Rd., 173
М. T. Kumari
Narayana Medical College and Hospital
India
India
Makani Thanuja Kumari
524003, Andhra Pradesh, Nellore
G. Chaganti
Kamineni Institute of Medical Sciences
India
India
Gangadhar Chaganti
58254, Narketpally, Sreepuram
S. Minz
Kamineni Institute of Medical Sciences
India
India
Smita Minz, ORCID: 0000-0002-7290-3415
58254, Narketpally, Sreepuram
References
1. Borley N.R. Vermiform appendix. In: Gray’s anatomy: the anatomical basis of clinical practice, 39th ed. Editor-in-chief. S. Standing. Edinburgh: Elsevier Churchill Livingstone, 2005; 1189–1190.
2. O’Connell P.R. The vermiform appendix. In: Bailey and Love’s Short Practice of Surgery, 23rd ed. Eds. R.C.G. Russell, N.S. Williams, C.J.K. Bulstrode. London: Arnold, 2000; 1076–1092.
3. Condon R.E. Appendicitis. In: Textbook of surgery, 13th ed. Ed. D.C. Sabiston. Philadelphia: W.B. Saunders, 1986; 967–982.
4. Moore K.L., Dalley A.F. Clinically oriented anatomy, 4th ed. Philadephia: Williams and Wilkins, 1999; 350–354.
5. Rahman M.M., Khalil M., Khalil M., Hussain A., Rahman H.R., Mannan S., Sultana S.Z., Ahamed M.S. Length of human vermiform appendix in Bangladeshi people. Journal of Bangladesh Society of Physiologist. 2008;2:13–16. doi: 10.3329/jbsp.v2i0.977
6. Ojeifo J.O., Ejiwunmi A.B., Iklaki J. The position of the vermiform appendix in Nigerians with a review of the literature. West Afr. J. Med. 1989;8(3): 98–204.
7. Last R.J. Last’s anatomy: regional and applied (MRCS Study Guides), 11th ed. London: Churchill Livinston, 2006; 264–266.
8. Katzarski M., Gopal Rao U.K., Brady K. Blood supply and position of the vermiform appendix in Zambians. Med. J. Zambia. 1979;13(2):32–34.
9. Golalipour M.J., Arya B., Azarhoosh R., Jahanshahi M. Anatomical variations of vermiform appendix in South-East Caspian Sea (Gorgan-IRAN). J. Anat. Soc. India. 2003;52(2):141–143.
10. Solanke T.F. The position, length, and content of the vermiform appendix in Nigerians. Br. J. Surg. 1970;57(2):100–102. doi: 10.1002/bjs.1800570205
11. Wakeley C.P. The position of the vermiform appendix as ascertained by an analysis of 10,000 cases. J. Anat. 1933;67(Pt 2):277–283.
12. Buschard K., Kjaeldguard A. Investigation and analysis of the position. length and embryology of the vermiform appendix. Acta Chir. Scand. 1973;139 (3):293–298.
13. Ajmani M.L., Ajmani K. The position, length and arterial supply of vermiform appendix. Anat. Anz. 1983;153(4):369–374.
14. Paul U.K., Naushaba H., Begum T., Alamq M. J., Alim A.J., Akther J. (2009). Position of vermiform appendix: a postmortem study. Bangladesh Journal of Anatomy. 2009;7(1):34–36. doi: 10.3329/bja.v7i1.3015
15. Sabiston’s textbook of surgery, the biological basis of modern surgical practice, 16th ed. Eds. C.M. Townsend, R.D. Beauchamp, B.M. Evers, K.L. Mattox. Philadelphia: W.B. Saunders Company, 2001;2:918.
Review
For citations:
Rajasree G., Kumari М.T., Chaganti G., Minz S. Anatomical deviations in the position of vermiform appendix: the cadaveric study. Сибирский научный медицинский журнал. 2022;42(3):36–40. https://doi.org/10.18699/SSMJ20220303
Views: 468
Email this article 