The Anatomical Position of Appendix in Iranian Cadavers
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 3 No. 4(Autumn) (2013),
2 December 2013
,
Page 126-130
https://doi.org/10.22037/ijmtfm.v3i4(Autumn).4859
Abstract
Background: Vermiform appendix is different in terms of anatomical position, length and mesoappendix. Knowing the anatomical position of vermiform appendix is important for the surgeons in terms of diagnosis and management. The aim of this study is analysis of length, anatomical position and mesoappendix of vermiform appendix.
Methods: This is a cross-sectional study on the 400 randomly selected cadavers (306 male and 94 female) who have been referred to the autopsy hall of legal medicine organization of Tehran province to be autopsied between March 21, 2010 and March, 2011. The cause of death was very heterogeneous among autopsied cadavers.
Results:According to our results the anatomical positions were pelvic, subcecal, retroileal, retrocaecal, ectopic and preileal in 55.8%, 19%, 12.5%, 7%, 4.2% and 1.5% respectively. The mean length of vermiform appendix was 91.2 mm and 80.3 mm in men and women, respectively. Mesoappendix was complete in 79.5% and incomplete in 20.5%. No association was seen between sex and anatomical position of vermiform appendix.
Conclusion:Anterior anatomical position was the most frequent vermiform appendix position in our population which is in discrepancy with most of the reports from western countries. It might be possible that factors such as race, geographical regions and nutritional regiment play roles in determining the position of vermiform appendix.
- Vermiform appendix
- Mesoappendix
- Cadaver
How to Cite
References
Standing S. Ellis H. Healy JC. Johnson D. Williams A. Collins P. Gray`s anatomy. In Alimentary system. 39th ed. Churchill Livingstone, New York. 2005;P:1189-1190.
Singh I.B. Chaurassia human anatomy, Regional and applied. 3rd ed. Vol. 2. CBC publishers and distributors. New Delhi.1999; P: 223-5.
Schwartz SJ. Shires GT. Spencer FC. Daly JM. Fischer JE. Galloway AC. Principles of surgery Schwartz. In: The Appendix 7th edn; Vol 3. MC Graw-Hill. Philadelphia. 1999; P:1383-5.
Sabiston DC, Courtney M. Sabiston’s textbook of surgery, the biological basis of modern surgical practice in Appendix. 16th ed; Vol 2; W.B. Saunders Company. Philadelphia. 2001; P: 918.
Williams PL. Bannister LH. Berry MM. Collins P. Dyson M. Dussek JE. Gray’s Anatomy. In : Alimentary system. 38th ed. Churchill Livingstone, New York. 1995;P:1775-6
Harrison, Translted by SeyyedMoayedAlavian, Gastrointestinal disease, NooreDanesh, 2007.
Denjalid A,Delic J,Delic-Custendil S, Muminagid S. Variations in position and place of formation of appendix vermiformis found in the course of open appendectomy. Med Arh. 2009;63(2):100-1.
Zinner MJ, Kumar SL. Maingut’sAbbominal Operation 10th ed. Right–Sided low inguinal pain in young woman. 1996;41(2) :93- 94.
Katzurskj MM,GopalRao UK, Brady K. Blood supply and position of the vermiform appendix in Zambians Medical Journal of Zambia. 1979;13(2):32-34.
Ojeifo JO,Ejiwunmi AB,Iklaki J. The position of the vermiform appendix in Nigerians with a review of the literature. West Afr J Med. 1989;8(3):198-204.
Rahman MM, Khalil M, Rahman H, Mannan S, Sultana SZ, Ahmed S. Anatomical Positions of Vermiform Appendix in Bangladeshi People. J Bangladesh Soc Physiol. 2006;1:5-9.
Kumar Paul U,Naushaba H, Begum T,Alam J. Position of Vermiform Appendix: A Postmortem Study. Bangladesh Journal of Anatomy. 2009;7(1):34-36.
Ajmani ML, Ajmani K. The position, length and arterial supply of vermiform appendix. AnatAnz. 1983;153(4):369-74.
lamptey JN,Armah H,Naaeder SB,Aryee NA. Position and susceptibility to inflammation of vermiform appendix in Accra, Ghana. East African Medical Journal. 2006; 83(12):670-3.
Golalipour MJ,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.
Yabunaka K,Katsuda T,SanadaSh,Fukutomi T. Sonographic appearance of the normal appendix in adults. J Ultrasound Med. 2007; 26:37-43.
Irfan A,Kristjan A, Ian B,Dileep L. The position of the vermiform appendix at laparoscopy. Surgical and Radiologic Anatomy. 2007; 29 (2):165-168.
Bakheit MA, Warille AA. Anomalies of the vermiform appendix and prevalence of acute appendicitis in Khartoum. East Afr Med J. 1999;76(6):338-40.
- Abstract Viewed: 609 times
- PDF Downloaded: 156 times