Article: Prevalence of appendicular perforation among patients undergoing emergency appendectomy at a Tertiary care hospital
| creativeworkseries.issn | Online ISSN: 2676-1424; Print ISSN: 2676-1319 | |
| dc.contributor.author | Shrestha, Sudip | |
| dc.contributor.author | Bhattarai, Shardul | |
| dc.contributor.author | Singh, Bhanu Pratap | |
| dc.contributor.author | Shrestha, Sudip | |
| dc.creator.affiliation | Department of Surgery, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.creator.affiliation | Department of Surgery, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.creator.affiliation | Department of Surgery, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.creator.affiliation | Department of Surgery, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.date.accessioned | 2026-10-06T09:03:17Z | |
| dc.date.available | 2026-10-06T09:03:17Z | |
| dc.date.issued | 2025 | |
| dc.description.abstract | Abstract: Appendicitis is a common cause of abdominal pain, and misdiagnosis or delayed diagnosis of acute appendicitis leads to perforation, postoperative complications, and an increased length of hospital stay. A retrospective study was performed at the Department of Surgery, Nepal Medical College Teaching Hospital, Gokarneshwor Municipality-8, Kathmandu, from Jan 2020 to Dec 2022, involving 235 patients who fulfilled the inclusion criteria. In our 3-year study, 235 patients (139 males and 96 females) underwent emergency appendectomy. Pain was present in all patients, with a mean duration of 24.89 ± 6.835 hours and a WBC ranging from 9,600 to 18,400 cells/mm3. The average luminal diameter was 9.362 ± 1.3 mm. A total of 22 patients (9.4%) had a perforated appendix. Perforation was more common among males. Similarly, perforated patients presented with pain for 24.5 ± 7.7 hours and a WBC of 15,454 ± 1818.044 cells/mm3. Imaging revealed the luminal diameter of 10.7 ± 1.069 mm. The prevalence of perforation among patients with appendicitis was relatively low with higher male-to-female ratio and a substantial portion of patients occurring in the 18-23 years age group. | |
| dc.identifier.doi | https://doi.org/10.3126/nmcj.v27i4.88110 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7989 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical College Pvt. Ltd. | |
| dc.subject | Appendicitis | |
| dc.subject | Luminal diameter | |
| dc.subject | Perforation | |
| dc.subject | WBC | |
| dc.title | Prevalence of appendicular perforation among patients undergoing emergency appendectomy at a Tertiary care hospital | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 324 | |
| oaire.citation.startPage | 321 | |
| relation.isJournalIssueOfPublication | ed2d47dc-a820-49e5-b38c-b04eed861dd9 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | ed2d47dc-a820-49e5-b38c-b04eed861dd9 | |
| relation.isJournalOfPublication | 865934c8-5e95-468c-8ca6-7bb2529e4064 |