scholarly journals Position of Vermiform Appendix: A Postmortem Study

1970 ◽  
Vol 7 (1) ◽  
pp. 34-36 ◽  
Author(s):  
Uttam Kumar Paul ◽  
Humaira Naushaba ◽  
Tahmina Begum ◽  
Md Jahangir Alamq ◽  
Afshan Jesmin Alim ◽  
...  

Context: Vermiform appendix is an organ with immunological function in the abdominal cavity which is variable in position and length. It is important in different disease processes, such as appendicitis, carcinoma and diverticulitis. Appendicitis is the most important clinical condition. Appropriate anatomical knowledge about vermiform appendix is important for surgeons, pathologists and other physicians for proper diagnosis and management of appendicitis and carcinoma. Study design: Descriptive type of study. Place and period of study: Department of Anatomy, Sir Salimullah Medical College Hospital, Dhaka, from January 2006 to June 2007. Materials and methods: Sixty (60) human postmortem vermiform appendix, age ranging from 0 to 65 years. Samples were observed in situ in the unclaimed dead bodies within 24 hours of death. Results: Retrocaecal position was highest (65%) followed by pelvic (31.7%) and post ileal (3.3%). Subcaecal and pre ileal varieties were not found. Conclusion: To establish a data for Bangladeshi people, future studies are necessary by using larger sample size from different age and sex groups. To determine position of vermiform appendix, sonological studies are also recommended. Key words: position, vermiform appendix   doi: 10.3329/bja.v7i1.3015 Bangladesh Journal of Anatomy January 2009, Vol. 7 No. 1 pp. 34-36

1970 ◽  
Vol 9 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Uttam Kumar Paul ◽  
Humaira Naushaba ◽  
Md Jahangir Alam ◽  
Tahmina Begum ◽  
Ashfaqur Rahman ◽  
...  

Context: The vermiform appendix is an abdominal organ having variable length and position. It provides immunological function. Vermiform appendix is involved in different disease processes such as appendicitis, carcinoma and diverticulitis. Appendicitis is the most important clinical condition. An appropriate anatomical knowledge about vermiform appendix is important for surgeons, pathologists and other physicians for proper diagnosis and management of appendicitis and carcinoma. Study type : Descriptive type of study. Place and period of the study: Department of Anatomy, Sir Salimullah Medical College, Dhaka from January 2006 to June 2007. Materials and Method: Sixty (60) human postmortem vermiform appendix, age ranging from 0 to 65 years. Fresh samples were collected from the morgue of Sir Salimullah Medical College and Dhaka Medical College, Dhaka. The samples were divided into five (5) different age groups. Result: Length of vermiform appendix decreases gradually with increasing age and was highly significant (P<0.001) when compared between the groups. Key words: Length; Vermiform appendix. DOI: http://dx.doi.org/ 10.3329/bja.v9i1.8140 Bangladesh Journal of Anatomy January 2011, Vol. 9 No. 1 pp 10-12


1970 ◽  
Vol 8 (1) ◽  
pp. 5-9
Author(s):  
Uttam Kumar Paul ◽  
Humaira Naushaba ◽  
Md Jahangir Alam ◽  
Tahmina Begum ◽  
Md Moazzem Hossain ◽  
...  

Context: The vermiform appendix is an abdominal organ performing the immunological function. Histological characteristics of this organ show its specialized immunological function. Vermiform appendix is involved in different disease processes such as appendicitis, carcinoma and diverticulitis. Appendicitis is the most important clinical condition. An appropriate anatomical knowledge about vermiform appendix is important for surgeons, pathologists and other physicians for proper diagnosis and management of appendicitis and carcinoma. Study design: Descriptive type of study. Place and period of the study: Department of Anatomy, Sir Salimullah Medical College, Dhaka from January 2006 to June 2007. Materials: Sixty (60) human postmortem vermiform appendix, age ranging from 0 to 65 years. Samples were collected from unclaimed dead bodies within 24 hours of death from the morgue of Sir Salimullah Medical College and Dhaka Medical College, Dhaka. Method: The samples were divided into five (5) different age groups. Result: Diameter of lymphoid follicles reduced with the advancing age and showed negative correlation with age which was highly significant (P<0.001). Key words: Lymphoid follicle; vermiform appendix. DOI: 10.3329/bja.v8i1.6100 Bangladesh Journal of Anatomy January 2010, Vol. 8 No. 1 pp. 5-9


1970 ◽  
Vol 1 ◽  
pp. 5-9 ◽  
Author(s):  
MM Rahman ◽  
M Khalil ◽  
H Rahman ◽  
S Mannan ◽  
SZ Sultana ◽  
...  

The study was done to see the incidences of different anatomical positions of vermiform appendix in Bangladeshi people to increase the knowledge regarding variational anatomy in our population. A total 100 vermiform appendix (male-60, female-40) were observed in situ on cadaver of different age and sex during routine post mortem examination in the autopsy laboratory of Forensic Department of Mymensingh Medical College. This cross-sectional descriptive study was done by convenient sampling technique. For convenience of differentiating the incidences of different positions of vermiform appendix in relation to age and sex findings were classified and analyzed in four age groups (up to 20 year, 21 - 35 years, 36 - 55 years, 56 - 70 years) and in different sex. In the present study, the pelvic position of vermiform appendix was the most common position in all age groups and pelvic positions were found in 47% cases. The retrocaecal position was the second highest position (22%) and pre ileal position was the lowest (10%) in number. In respect to sex, incidences of pelvic variety of vermiform appendix were more in male than female. Key words: Vermiform appendix, anatomy, position J Bangladesh Soc Physiol. 2006 Dec;(1):5-9


2020 ◽  
Vol 20 (2) ◽  
pp. 61-64
Author(s):  
Mohammad Mahfuzur Rahman Chowdhury ◽  
Rifat Zaman ◽  
Md Amanur Rasul ◽  
Akm Shahadat Hossain ◽  
Shafiqul Alam Chowdhury ◽  
...  

Introduction and objectives: Congenital ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis. Management protocols are based on the presence of symptoms and when the patient is asymptomatic the function of the affected kidney determines the line of treatment. Percutaneous nephrostomy (PCN) became a widely accepted procedure in children in the 1990s. The aim of the study was to evaluate the results of performing percutaneous nephrostomy (PCN) in all patients with UPJO and split renal function (SRF) of less than 10% in the affected kidney, because the management of such cases is still under debate. Methods:This prospective clinical trial was carried out at Dhaka Medical College Hospital from January 2014 to December 2016. Eighteen consecutive patients who underwent PCN for the treatment of unilateral UPJO were evaluated prospectively. In these children, ultrasonography was used for puncture and catheter insertion. Local anesthesia with sedation or general anesthesia was used for puncture. Pig tail catheters were employed. The PCN remained in situ for at least 4 weeks, during which patients received low-dose cephalosporin prophylaxis. Repeat renography was done after 4 weeks. When there was no significant improvement in split renal function (10% or greater) and PCN drainage (greater than 200 ml per day) then nephrectomies were performed otherwise pyeloplasties were performed. The patients were followed up after pyeloplasty with renograms at 3 months and 6 months post operatively. Results: All the patients had severe hydronephrosis during diagnosis and 14 patients with unilateral UPJO were improved after PCN drainage and underwent pyeloplasty. The rest four patients that did not show improvement in the SRF and total volume of urine output underwent nephrectomy. In the patients with unilateral UPJO who improved after PCN drainage, the SRF was increased to 26.4% ±8.6% (mean± SD) after four weeks and pyeloplasty was performed. At three and six months follow-up, SRF value was 29.2% ±8.5% and 30.8.2% ±8.8% respectively. Conclusion: Before planning of nephrectomy in poorly functioning kidneys (SRF < 10%) due to congenital UPJO, PCN drainage should be done to asses improvement of renal function. Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.61-64


2019 ◽  
Vol 11 (1) ◽  
pp. 81-83
Author(s):  
Md Mustafizur Rahman ◽  
Nadim Ahmed ◽  
Sami Ahmad ◽  
Shoaeb Imtiaz Alam ◽  
Mohammad Rashedul Hassan ◽  
...  

Paget’s disease of the breast is a rare type of cancer of the nipple–areola complex and that is often associated with an underlying in situ or invasive carcinoma. It is often misdiagnosed as eczema of breast and treatment is delayed. Here we present a case where a 30 year old female presented with itching ulceration and destruction of her left nipple. She was treated initially by local physicians by applying local ointments but as her condition did not improve she was admitted to department of surgery Shaheed Suhrawardy Medical College hospital where she was diagnosed as Paget’s disease with infiltrating ductal cell carcinoma. She underwent modified radical mastectomy with axillary clearance and referred to oncology department for further management. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 81-83


KYAMC Journal ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 179-183
Author(s):  
Hafiz Al Asad ◽  
Nahid Rahman Zico ◽  
AKM Shahadat Hossain ◽  
Zulfia Zinat Chowhury ◽  
Md Mostafizur Rahman ◽  
...  

Background: Dhaka Medical College Hospital is the highest referral center for PFUI. As anstomotic urethroplasty is a challenging surgery and most of the surgeons refer these type of injuries to our center, we performed this study to evaluate the outcome of our cases. Objective: This study aims to find the outcome and complications of perineal end to end anastomotic urethroplasty in the management of posterior urethral injury resulting from pelvic fracture. Materials and Methods: We performed 147 perineal bulbo-prostatic anastomotic urethroplasty for PFUIs from January, 2013 to May, 2019. Mean age was 37 years with majority between 21 to 50 years (>85%). Nine patients had history of failed anastomotic urethroplasty. After surgical intervention patients were discharged with a supra-pubic catheter (SPC) and per urethral catheter in situ. On 22nd POD urethral catheter was removed and SPC on the next day if patient can void normally. 1st and 2nd follow up done on of 3rd and 6th month respectively following surgery. If patient voided well and Qmax>15ml/ sec; repair was defined as successful. Results: Success rate of anastomotic urethroplasty for PFUI was 93.87%. Total 9 procedures were failed including 2 urethro-cutaneous fistula and needed re-do anastomosis. Erectile dysfunction (ED) was present in 18 patients before operation and after surgery 12 more patients developed ED and total number was 30 during first follow up, which reduced to 24 during second follow-up. Two patient developed incontinence which improved in subsequent follow-up. Conclusion: Anastomotic urethroplasty remains the gold standard in the management of PFUI. Erectile dysfunction is the main issue to be concerned and need special attention. KYAMC Journal Vol. 10, No.-4, January 2020, Page 179-183


1970 ◽  
Vol 4 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Md Mahbubur Rahman ◽  
Mohsin Khalil ◽  
Mansur Khalil ◽  
Seheli Zannat Sultana ◽  
Sabina Mannan ◽  
...  

Background: The mesentery of the appendix extends almost to the appendicular tip along the whole tube or may not be to the tip. The mesoappendix has a free border which carries the blood supply to the organ. Failure of the mesoappendix to reach the tip probably reduces the vascularization of the tip of the organ making it more liable to become gangrenous and hence early perforation occurs during inflammation. Objective: This cross sectional study was carried out to advance our knowledge regarding the extent of mesoappendix in Bangladeshi people and also to find out the variations in the anatomical positions of the vermiform appendix in Bangladeshi population and their distribution according to the sex. Methods: A total of 100 (60 male and 40 female) specimens of vermiform appendix were collected of different age and sex during postmortem examination in the morgue of Mymensingh Medical College from July 2006 to June 2007. Data was collected by convenient sampling technique. Results: In this study pelvic position of the vermiform appendix were common in both sexes. The two thirds extension of mesoappendix was found in 45% cases where as in pelvic position it was 26 (14 male and 12 female) cases. Half and whole extension of mesoappendix were found in 31% and 24% cases respectively. Among half extension of mesoappendix, retrocaecal position were found to be more (12) than other positions. In whole extension of vermiform appendix pelvic position were found to be common (16) than others. Conclusion: This study provides certain basic information of extent of mesoappendix of vermiform appendix of Bangladeshi population which is responsible for vascularization of the organ and severity during inflammation. Key words: Vermiform appendix, Mesoappendix   DOI: 10.3329/jbsp.v4i1.4065 J Bangladesh Soc Physiol. 2009 June; 4(1): 20-23


2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Shahid Hussain Mirani ◽  
Abdul Waheed Khan ◽  
Ahmad Raza Nsar

Background: A surgical incision in the abdominal cavity (laparotomy surgery) is the most common procedure in surgical departments. Post-operative wound irrigation is very helpful method for surgeons to diagnose the surgical infections and to decrease the length of stay at hospital. Objectives: To determine the prevalence of deep surgical site infections in patients treated laparotomy procedure with or without post-operative wound irrigation. Study Design: Comparative control trial, observational study. Setting: Ghulam Muhammad Mahar Medical College Hospital, Sukkur. Period: 1st January 2016 to 31st December 2017. Material and Methods: Three hundred and thirty patients of both genders who had treated laparotomy because of intra-abdominal cavity and due to perforated appendix, examined TB, typhoid history, clinical treatments were included. All patients were divided into two groups with or without post-operative wound irrigation to examine the frequency of DSSIs in patients at third and seventh day of laprotomy treatment. Results: There were 180 (54.55%) were men and 150 (45.45%) patients were women. 50 (15.15%) patients having ages of <20 years, 110 (33.33%) patients were aged between 20 to 29 years, 130 (39.39%) patients were aged between 30 to 39 years, 25 (7.58%) patients having ages of 40 to 49 years and 15 (4.54%) patients were ages >49 years. Hospital stay of patients was recorded from 2 to 10 days, 237 (71.82%) patients having stay at hospital were 2 to 4 days, 63 (19.09%) patients stay were 5 to 7 days while 30 (9.10%) patients stay were >7 days. Out of all the 330 patients, 47 (14.24%) patients found surgical site infections on 3rd days, 43 (13.03%) found DSSIs on 5th day and 45 (13.64%) patients had deep surgical site infections on 7th day after laparotomy treatment. DSSIs on 3rd days was noted in 23 (6.97%) patients with Postoperative wound irrigation and 24 (7.24%) without PO wound irrigations, 22 (6.67%) found DSSIs with wound irrigations and 21 (6.37%) without wound irrigations, while on 7th day 21 and 24 patients had observed deep surgical site infections after operation. Conclusion: There is no major difference observed in prevalence of DSSIs whether performing post operative wound irrigation or do not performing PO wound irrigations after laparotomy procedure. Thus we concluded that the PO wound irrigations is not useful method to decrease the rate of DSSIs on 3rd, 5th and seventh day of after operation.


1970 ◽  
Vol 2 ◽  
pp. 13-16
Author(s):  
Md Mahbubur Rahman ◽  
Mohsin Khalil ◽  
Mansur Khalil ◽  
Anwar Hussain ◽  
Habibur Rahman Rahman ◽  
...  

The study was done to find out the length of human vermiform appendix in Bangladeshi people to magnify the knowledge regarding the diverse length of human vermiform appendix in our population. A total 100 vermiform appendix were measured with different age and sex during routine postmortem examination in the autopsy laboratory of forensic medicine department of Mymensingh Medical College. This cross sectional study was done by convenient sampling technique. For convenience of differentiating the length of vermiform appendix in relation to different age and sex, findings were classified in four groups (up to 20 years, 21 to 35 years, 36 to 55 years and 56 to 70 years). Length of vermiform appendix was 2.6 cm to 14 cm. Mean length was 7.9 cm in female and 7.56 cm in male. The highest mean length of vermiform appendix in group A was 9.17 cm and lowest was 5.93 cm in group D. Key words: Human Vermiform Appendix; Length; Bangladesh   DOI:10.3329/jbsp.v2i0.977 J Bangladesh Soc Physiol. 2007 Dec;(2): 13-16


Author(s):  
Aleksandra Paunović ◽  
Igor Lazić ◽  
Filip Milisavljević ◽  
Aleksandar Miljković ◽  
Žarko Nedeljković ◽  
...  

Primary intracranial malignant melanoma is an extremely rare entity These aggressive tumors are derived from the melanocytes of leptomeninges or their precursor cells and can give metastasis to other organs. It effects mostly middle aged males and represents a very poor prognosis with median survival less than 1 year. For proper diagnosis, melanoma of other localization must be excluded. Giving the rarity of this tumor, treatment of choice in unclear. We report a case of 43 year old patient with primary intracranial melanoma treated by supramarginal resection followed by whole brain RT, with disease free period of three years following treatment. We strongly advocate for aggressive treatment approach, supramarginal resection whenever safe, adjuvant therapy and frequent check-ups. We also hope to inspire future studies on larger sample to in order to establish an adequate therapy protocols.


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