{"id":1125,"date":"2018-01-04T14:49:39","date_gmt":"2018-01-04T14:49:39","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1125"},"modified":"2018-01-04T14:49:39","modified_gmt":"2018-01-04T14:49:39","slug":"ijar-2017-473","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-473","title":{"rendered":"IJAR.2017.473"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.1\/IJAR.2017.473.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 1.1 (January 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a04815-4818<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.473<\/h3>\n<h3 style=\"text-align: justify;\">ANATOMICAL VARIATIONS OF VERMIFORM APPENDIX IN GUJARAT<\/h3>\n<p style=\"text-align: justify;\"><strong>Chaudhari ML*<sup>1<\/sup>, Kanani S <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\">*<sup>1<\/sup> Assistant professor in Department of Anatomy, Dr Mk Shah Medical Collage Chandkeda, Ahmedabad, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Assistant Professor in GMRES Medical collage, Himatnagar, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corrosponding Author: <\/strong>Dr. Manisha Laxmanbhai Chaudhari, Dr Mk Shah Medical Collage Chandkeda, Ahmedabad, Gujarat, India. <strong>E-Mail:<\/strong> drmanishachaudhari6@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong>:<\/p>\n<p style=\"text-align: justify;\"><strong>Background<\/strong>: Head of appendix can be placed in different situations but the base of appendix is connected to the cecum. The variation in the situations is classified into six locations: retrocecal, pelvic, subcecal, paraileal, retroileal, and subhepatic.<\/p>\n<p style=\"text-align: justify;\"><strong>Objectives:<\/strong> to study the variation in the anatomical features, length &amp; external diameter of appendix and its association with age and sex in people in the Gujarat.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and method<\/strong>: This study was conducted on total 200 cases taken from dissection laboratory of the anatomy department of three different medical college of Ahmedabad during 2009 to 2012. Length of vermiform appendix was measured by nylon thread from root to tip of appendix. Thread\u2019s length was measured by vernier caliper. External diameter was measured by vernier caliper at a maximum external diameter of the appendix.<\/p>\n<p style=\"text-align: justify;\"><strong>Result:<\/strong> anatomical locations of the appendix which were as follows: retrocecal in 111 individuals (55.5%), pelvic in 47 individuals (23.5%), retroileal in 18 individuals (9.0%), subcaecal in 13 individuals (6.5%), paracaecal in 10 individual (5.0%), and subhepatic in 1 individual (0.5%). a significant association was found between the appendix length and different age groups. The average length of appendix was 55 mm for men and 51 mm for women. The average external diameter of appendix was 73 mm for men and 65 mm for women.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong>Retrocaecal appendix has symptoms of upper urinary tract infection, due to irritation of the adjacent ureter. In pelvic position pain may be felt when the thigh is flexed and medially rotated, because the obturator internus is stretched. Pelvic appendix may irritate the bladder or rectum causing suprapubic pain, pain with urination, or feeling the need to defecate.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Appendicitis, Mesoappendix, Retrocaecal appendix. Vermiform appendix.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Standing, h. Ellis, j. C. Healy, d. Johnson, a. Williams, and p.Collins, \u201cgray\u2019s anatomy,\u201d in alimentary system, pp. 1189\u20131190, churchilllivingstone, NEW YORK, USA, 39th edition, 2005.<\/li>\n<li style=\"text-align: justify;\">B. Singh, human anatomy, regional and applied, vol. 2, cbcpublishers and distributors, new delhi, india, 3rd edition, 1999.<\/li>\n<li style=\"text-align: justify;\">J. Schwartz, g. T. Shires, f. C. Spencer, j. M. Daly, j. E. Fischer,and a. C. Galloway, \u201cprinciples of surgery schwartz,\u201d in thappendix, pp. 1383\u20131385, mcgraw-hill, philadelphia, pa, usa, 7th edition, 1999.<\/li>\n<li style=\"text-align: justify;\">C. Sabiston and m. Courtney, sabiston\u2019s textbook of surgery:th biological basis of modern surgical practice in appendix, vol. 2, wbsaunders, philadelphia, pa, usa, 16th edition, 2001.<\/li>\n<li style=\"text-align: justify;\">L. Williams, l. H. Bannister, m. M. Berry, p. Collins, m.Dyson, and j. E. Dussek, \u201cgray\u2019s anatomy,\u201d in alimentary system, pp. 1775\u20131776, churchilllivingstone, new york, ny,usa, 39th edition, 2005.<\/li>\n<li style=\"text-align: justify;\">Schwartz, s.j. shires, g.t., spencer, f.c., daly, j.m.,fischer, j.e., galloway, a,c.: principles of surgery schwartz. In: the appendix 7th edn; vol 3. Mc graw-hill. Philadelphia. 1999:1383 \u2013 5.<\/li>\n<li style=\"text-align: justify;\">Williams, p.l.; bannister l.h., berry m.m., collins, p., dyson,m., dussek, j.e. and ferguson, m.w.j.: gray\u2019s anatomy. In: alimentary system. 38th edn. Churchill livingstone, New York.1995:1775-6.<\/li>\n<li style=\"text-align: justify;\">Williams, r. A. And glimourh.m. : gastrointestinal andesophageal pathology. In: the appendix. First edn; Churchill livingstone. Edinburg. 1989:533-8.<\/li>\n<li style=\"text-align: justify;\">Moore kl and persaud t v n. Before we are born- essentials of embryology and birth defects. 5th edition. Philadelphia: w. B.saunderscompany; 1998:273-280.<\/li>\n<li style=\"text-align: justify;\">Sabiston, d. C., townsend, courtney, m. :sabiston\u2019s textbook of surgery, the biological basis of modern surgical practice. In : appendix. 16th edn; vol 2; w.b. saunderscompany. Philadelphia. 2001:918.<\/li>\n<li style=\"text-align: justify;\">Sadler, t.w.: langman\u2019s medical embryology. 7th edn; williams and wilkins. Baltimor. 1990:260-2.<\/li>\n<li style=\"text-align: justify;\">Ghorbani a, forouzesh m, kazemifar am. Variation in anatomical position of vermiformappendix among iranian population: an old issue whichhas not lost its importance. Anatomy research international. 2014. Available from: http:\/\/dx.doi.org\/10.1155\/2014\/313575.<\/li>\n<li style=\"text-align: justify;\">L. Ajmani and k. Ajmani. The position, length and arterial supply of vermiform appendix. Anatomi scheranzeiger, 1983;153(4):369\u2013374.<\/li>\n<li style=\"text-align: justify;\">O. Ojeifo, a. B. Ejiwunmi, and j. Iklaki. The position of the vermiform appendix in nigerians with a review of the literature. west African journal of medicine. 1989;8(3):198\u2013204.<\/li>\n<li style=\"text-align: justify;\">The position, length, and content of the vermiform appendix in nigerians. Brit. J. Surg. 1970;57:100-10.<\/li>\n<li style=\"text-align: justify;\">Cecil p.gwakeley. The position of the vermiform appendix tip obtained by analysis of 10,000 cases. Journal anat. 1933;67:277.<\/li>\n<li style=\"text-align: justify;\">Shah ma, shah m. The position of vermiform appendix. Ind med gaz. 1945;80:494-95.<\/li>\n<li style=\"text-align: justify;\">Baily &amp; love practice of surgery, 24edition, chapter 70.the vermiform appendix. 2004;1205-07.<\/li>\n<li style=\"text-align: justify;\">N. A. Clegg-lamptey, h. Armah, s. B. Naaeder, and n.A. Adu-aryee. Position and susceptibility to inflmmation ofvermiform appendix in accra, Ghana. East African medicaljournal. 2006;83(12): 670\u2013678.<\/li>\n<li style=\"text-align: justify;\">M. Katzarski, UK Gopal Rao, K. Brady, Blood supplyand position of the vermiform appendix in Zambians. Medicaljournal of Zambia, 1979;13(2):32\u201334.<\/li>\n<li style=\"text-align: justify;\">O. Ojeifo, a. B. Ejiwunmi, and j. Iklaki. The position ofthe vermiform appendix in Nigerians with a review of theliterature. West African journal of medicine. 1989;8(3)198\u2013204.<\/li>\n<li style=\"text-align: justify;\">M. Rahman, m. Khalil, h. Rahman, s. Mannan, s. Z.Sultana, and s. Ahmed. Anatomical positions of vermiformappendix in Bangladeshi people. Journal of Bangladesh societyof physiologist. 2006;1:5\u20139.<\/li>\n<li style=\"text-align: justify;\">K. Paul, H Naushaba, T. Begum, JAlam. Position of vermiform appendix: a postmortem study. Bangladesh journalof anatomy. 2009;7(1):34\u201336.<\/li>\n<li style=\"text-align: justify;\">Turkoglu, MROnur, AK. Poyraz, E Kocakoc,Evaluation of normal appendix vermiformis in adults with multidetector computed tomography. Clinical imaging. 2012;36(6):758\u2013762.<\/li>\n<li style=\"text-align: justify;\">Ferguson, john. Some important points regarding the appendix vermiformis. Am. Jour. Med. Sc. 1891;26:61-62.<\/li>\n<li style=\"text-align: justify;\">Lewis wh. Anatomy of the human body, twentieth edition. Philadelphia: lea and febiger; 1918.<\/li>\n<li style=\"text-align: justify;\">Arthur robinson. Cunningham&#8217;s textbook of anatomy, fifth edition. Edinburgh: william wood and co; 1923.<\/li>\n<li style=\"text-align: justify;\">Royster ha. Appendicitis. New york: appleton and co.; 1927. 20.<\/li>\n<li style=\"text-align: justify;\">Donald c. Collins. The length and position of the vermiform appendix &#8211; a study of 4,680 specimens. Ann surg. 1932;96(6): 1044\u201348.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Chaudhari ML, Kanani S. ANATOMICAL VARIATIONS OF VERMIFORM APPENDIX IN GUJARAT. Int J Anat Res 2018;6(1.1):4815-4818. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2017.473\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 1.1 (January 2018) Page No.:\u00a04815-4818 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.473 ANATOMICAL VARIATIONS OF VERMIFORM APPENDIX IN GUJARAT Chaudhari ML*1, Kanani S 2. *1 Assistant professor in Department of Anatomy, Dr Mk Shah Medical Collage Chandkeda, Ahmedabad, India. 2 Assistant Professor in GMRES Medical collage, Himatnagar, India. Corrosponding Author: Dr. Manisha Laxmanbhai Chaudhari,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-473\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1125"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1125"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1125\/revisions"}],"predecessor-version":[{"id":1130,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1125\/revisions\/1130"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}