Gynaecological Diagnosis in Patients with Provisional Diagnosis of Acute Appendicitis

Abstract

Aim: To study incidence of gynaecological pathologies in operated cases of appendectomies being practiced at Allama Iqbal Memorial Teaching hospital, Sialkot. Study Design: Prospective analysis. Place & duration of study: Department of General Surgery, Khawaja Muhammad Safdar Medical College, Sialkot from January 2014 to June 2017. Methods: All patients serially operated in Emergency and elective cases of Surgical Department of Allama Iqbal Memorial hospital fulfilling the inclusion criteria were registered. Two groups were made: Group 1 patients of appendicitis having gynaecological pathologies both and Group 2 having normal appendix but gynaecological pathology was the true pathology that presented like acute appendicitis. Follow up for 12 weeks was necessary for inclusion in the study. Results: Out of 600 surgeries done during the period of study, 64 patients had gynaecological pathologies. Group 1 having appendicitis and gynaecological pathology both in 29 patients: while Group 2 patients having normal appendix and gynaecological pathology as the definite pathology which presented like acute appendicitis in 35 patients. Group II patients undergone operations like cystectomy, oophorectomy had less morbidity as compared to group I patients which undergone appendectomies along with Ovarian Cystectomy, Oophorectomy, Salpingectomy, Myomectomy Hysterectomy in regards to time for hospital stay and wound infections.