Muhammad Tahir Ali, Muhammad Rizwan Saleem, Muhammad Sajid Hameed Ansari.
Causes of Perforated Appendicitis and its Prevalence in patients undergone Appendectomy.
Pak J Med Health Sci Jan ;12(3):900-2.

Aim: To determine the causes affecting perforated appendicitis and its prevalence among patients whom undergone appendectomy treatment. Methods : This observational cross sectional study was conducted at Department of Surgery , Shahida Islam Medical Complex, Lodhran and BVH, Bahawalpur from 1st January 2017 to 31st December 2017. In this research, 170 patients of both genders whom had undergone appendectomy were included. Patients were aged between 10 to 50 years. After taking informed consent from patients, detailed history was noted. Causes affecting perforated appendicitis and its prevalence were assessed , symptoms were also noted. Patients who were not willing and whom had other abdominal problems were excluded from this study. Results: Out of 170 patients, 113 (66.47%) patients were males while rest 57 (33.53%) patients were females. 30 (17.65%) patients were aged between 10 to 20 years, 65 (38.24%) patients had ages of 21 to 30 years, 50 (29.41%) patients were aged between 31 to 40 years and 25 (14.71%) patients were ages >40 years. 35(20. 58%) patients had found perforated appendicitis, 90 (52.94 %) patients had inflamed appendicitis, 25 (14.71%) had gangrenous, 12 (7.06%) patients had normal appendix and 8 (4.71%) patients had found chronic appendicitis. Symptoms observed in patients such as pain in right iliac fossa, tenderness, elevated temperature, vomiting and nausea as 90, 20, 35, 25 patients respectively. Causes of perforated appendicitis were observed as misdiagnosed from Doctor , patient afraid of surgical treatment and delay in reaching hospital respectively. Conclusion: It is concluded that the prevalence of perforated appendicitis was high in our system due to misdiagnosed by clinically observation, delay in reaching hospital and afraid of surgical treatment by the patient Expertise should have to diagnosed attentively for decreasing the rate of perforated appendicitis, Also people must have to aware of this serious disease.

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