Zafar Iqbal, Mian Tauseef Uddin, Gulsharif, Zeeshan Saboor Ahmad, Yousaf Jan, Aziz Ullah.
Determination of Frequency of Fecolith in Perforated Appendicitis.
Ophthalmol Update Jan ;13(4):308-10.

Objective: To determine the frequency of fecolith in perforated appendicitis. Materials & Methods: This was a prospective observational study of 6 months duration, carried out from June 2014 to December 2014 in the department of General Surgery, Hayatabad Medical Complex, Peshawar. A total of 150 patients were selected and admitted through emergency department. Patients were diagnosed using the Alvarado score. Those patients who had a score of more than or equal to 6 were operated. Proforma was made which contain all details of selected patients, meeting the inclusion and exclusion criteria who were undergoing emergency appendectomy were included in the study and were admitted through emergency. All data analyses were performed using the SPSS program (version 11.5). Results: Out of total 150 patients, 13 (8.6%) patients were diagnosed with perforated appendicitis pre-operatively. Out of the operated, 27 (18%) patients had a perforated appendix and were included in this study, making a total of 40 (26.67%) perforated appendicitis. Among the total 150 cases, 87 (58%) were males and 63 (42%) were females. In the perforated group, 36 (90%) were males and 4(10%) were females. Out of the total 150 patients, 20 (13.34%) patients had fecolith in their appendix. In the perforated group, only 7 (17.5%) patients had fecolith, out of which 6 (15%) were males and only one (2.5%) female. Conclusions: Fecolith is associated with acute appendicitis in adults. However, there was no correlation between a gangrenous/perforated appendix and the presence of a fecolith.

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