![]() What is the Incidence of Appendicitis Fibrous Obliterans? The diagnosis was made on the histology on the appendix specimen which surgeons thought to have performed a negative appendicectomy. They are neurogenic appendicitis, appendiceal neuroma, neuronal hyperplasia of the appendix and neurogenic appendicopathy. There are many names to describe this condition. During the surgery, the operating surgeon would be left in a dilemma if he encounters a normal looking appendix whether to proceed with an appendicectomy and no other pathology could be identified for patient's symptoms.Īppendicitis fibrous obliterans is one of the rarely encountered histological diagnoses after an appendicectomy. The decision making to offer a surgery and appendicectomy is sometimes completely based on clinical judgement. The sensitivity and specificity of these tests is not 100% in diagnosing appendicitis. The diagnosis is sometimes guided with use of adjunct imaging, clinical scoring systems and rise in inflammatory markers in blood investigations. However, all patients do not have these classical symptoms. The clinical presentation of appendicitis is right lower abdominal pain and associated anorexia and fever. Acute appendicitis is the most common surgical emergency globally. The cause for right lower quadrant abdominal pain encompasses a wide spectrum of diseases from a functional pain to an acute emergency where an immediate surgical intervention is definitely warranted. Abdominal pain especially in the right iliac fossa (RIF) or right lower quadrant (RLQ) is one of the most common presentations as surgical emergencies. ![]()
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