Detailed history was taken, physical examination and relevant laboratory investigations were performed during the clinical encounter. 1000 cases of appendicectomy specimens were examined histopathologically to confirm for acute appendicitis. ![]() (1) MATERIALS AND METHODS This study was a prospective study conducted in Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India from April 2010 to March 2017. The discomfort and risks associated with an exploratory laparotomy and discovering "no disease" are far outweighed by the morbidity and mortality (about 2%) associated with perforation (Singhal R et al, 2007). There is general agreement that highly competent surgeons make false positive diagnosis of acute appendicitis and remove normal appendices about 20% to 25%. ![]() In such situations, a certain percentage of normal appendices are found to be removed due to misdiagnosis. Emergency appendicectomy is performed to prevent morbidity and mortality due to perforation and gangrenous changes. In spite of advanced technology and vast knowledge about the condition, it remains a difficult task for clinicians to diagnose it cent percent accurately. ![]() Past reports have shown that up to 30% of appendices have been removed after clinical diagnosis of acute appendicitis, which may be normal on histopathological examination. Abstract : BACKGROUND Acute appendicitis is the most common intra-abdominal condition requiring emergency surgery.
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