Anatomical Positions of Vermiform Appendix in Bangladeshi People: A Postmortem Study

Mohammad Ashfaqur Rahman^1, , Md. Ashraful Azim¹ and Farhana Karim²

¹Department of Anatomy, Ad-din Akij Medical College, Khulna, Bangladesh

²Department of Pediatrics, Ad-din Akij Medical College, Khulna, Bangladesh

Cite this paper:
Mohammad Ashfaqur Rahman, Md. Ashraful Azim and Farhana Karim. Anatomical Positions of Vermiform Appendix in Bangladeshi People: A Postmortem Study. American Journal of Medical Sciences and Medicine. 2019; 7(3):64-66. doi: 10.12691/ajmsm-7-3-3

Abstract

The vermiform appendix is a worm-like, narrow, elongated, blind-ended extension of the large intestine of certain mammals, projecting from the posteromedial wall of the cecum, near its junction with the small intestine. It varies in position from person to person. Appendicitis is the most important clinical condition of vermiform appendix. The clinical presentation of appendicitis varies according to position of the vermiform appendix. An appropriate knowledge of the position of the vermiform appendix is important for surgeons, pathologists and other physicians for proper diagnosis and management of appendicitis and other appendicular diseases. In Bangladesh there is no sufficient data regarding position of the vermiform appendix. The present study is aimed to observe the anatomical position of the vermiform appendix among collected samples. With this aim the present study was carried out in the department of Anatomy, Sir Salimullah Medical College, Dhaka, from January 2008 to June 2009. After taking approval from the Institutional Ethics Committee sixty (60) postmortem vermiform appendices of different age groups collected by convenient sampling from unclaimed dead bodies of Bangladeshi cadavers which were under autopsy examination in the Department of Forensic Medicine of Dhaka Medical College (DMC) and Sir Salimullah Medical College (SSMC), Dhaka. The position of vermiform appendix was noted during collection of the sample from the dead bodies. In all the age groups, the pelvic position was the commonest (43.33%), followed by retrocecal-retrocolic position (33.33%), postileal position (20%) and subcecal-paracolic position (3.3%). Preileal variety was not found.

Keywords:
anatomical position vermiform appendix Bangladeshi people

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Darwin, C, The Descent of Man, and selection in relation to sex, 1st ed, London, John Murray Publications, 1871, p. 17-33.
[2]	Malla, B.K, “A study on vermiform appendix- a caecal appendage in common laboratory mammals”, Kathmandu Uni Med Jour,1 (4), 272-275, 2003.
[3]	McCabe, J, The story of evolution, Boston, Small Maynard and Co., 1912.
[4]	Schwartz, SI, Principles of surgery, 6th ed, New York, The McGraw-Hill Companies, Inc., 1994, p. 1307. (vol 3).
[5]	Rahman, M.M, Begum, J., Khalil, M., Latif, S.A., Nessa, A., and Jahan, M.K, “Anatomical positions of vermiform appendix in Bangladesh”, J Bang Soc Physiol, 1, 5-9, 2006.
[6]	Sinnatamby, C.S., editor. Last’s anatomy: regional and applied, 10th ed, London, Churchill Livingstone, 2000, p. 249-250.
[7]	Katzarski, M., and Datta, C.R, “The vermiform appendix in Ghanaians”, Ghana Med J, 4, 96-99, 1971.
[8]	Normann, L.B, An introduction to the symptoms and signs of surgical disease, 3rd ed, London, ELST, 1997, p. 406-409.
[9]	Sabiston, D.C, Textbook of surgery: the biological basis of modern surgical practice, 15th ed, Philadelphia, W B Saunders Co., 1997, p. 964-969. (vol-2).
[10]	Drake, R., Vogl, W., and Mitchel, A, Gray's Anatomy for students, 1st ed. Edinburgh: Churchill Livingstone; 2004, p. 781-807.
[11]	Katzarski, M., Gopal Rao, U.K, Brady, K., “Blood supply & position of the vermiform appendix in Zambians”, Med J Zambia, 13 (2), 32-34, 1979.
[12]	Maisal, H., “The position of the human vermiform appendix in fetal and adult age groups”, Anat Rec, 136, 385-391, 1960.
[13]	Ndoye, J. M., A. Ndiaye, A. Dia, B. Fall, M. Diop, and M. L. Sow, “Cadaveric topography and morphometry of the vermiform appendix”, Morphologie, 89 (285), 59-63, 2005.
[14]	Ojeifo, J, O., Ejiwunmi, A.B., and Iklaki, J, “The position of the vermiform appendix in Nigerians with a review of the literature”, West Afr J Med, 8 (3), 198-204, 1989.
[15]	Clegg-Lamptey, J.N., Armah, H., Naaeder, S.B., and Adu-Ayree, N.A, “Position and susceptibility to inflammation of vermiform appendix in Accra”, Ghana, East Afr Med J, 83 (12), 670-673, 2006.
[16]	Solanke, T.F, “The position, length & content of the vermiform appendix in Nigerians”, Brit J Surg, 57 (2), 100-102, 1970.
[17]	Collins, D.C, “The length and position of the vermiform appendix: a study of 4,680 specimens”, Ann Surg, 96 (6), 1044-1048, 1932.
[18]	Peterson, L, “Beitrag zur kenntnis des ilium terminale fixatum und lleus ilei terminalis fixati”, Acta Chir Scand, 32, 105-116, 1934.
[19]	Buschard, K., and Kjaeldgaard, A, “Investigation and analysis of the position, fixation, length and embryology of the vermiform appendix”, Acta Chir Scand, 139 (3), 293-298, 1973.
[20]	Gladstone, R.J., and Wakeley, C.P.G, “The relative frequency of the various positions of the vermiform appendix; as ascertained by an analysis of 3000 cases: with an account of its development”, Br J Surg, 11 (43), 503–520, 1924.
[21]	Wakeley, C.P.G, “The position of the vermiform appendix as ascertained by an analysis of 10,000 cases”, J Anat, 67, 277-283, 1933.
[22]	Waas, M.J, “The position of the vermiform appendix”, Med Press, 242, 382–383, 1959.
[23]	Ajmani, M.L., and Ajmani, K, “The position, length and arterial supply of vermiform appendix”, Anat Anz, 153 (4), 369-374. 1983.
[24]	Shah, M.A., and Shah, M, “The position of the vermiform appendix”, Ind Med Gaz, 80 (10), 494-495, October 1945.
[25]	Paul, U.K, “Position of Vermiform Appendix: A Postmortem Study”, Bangladesh J Anat, 7 (1), 34-36, 2009.
[26]	Ghorbani, A., Forouzesh, M., and Kazemifar, A.M, “Variation in Anatomical Position of Vermiform Appendix among Iranian Population: An Old Issue Which Has Not Lost Its Importance”, Anatomy research international, 313575, 2014.
[27]	de Souza, S.C., da Costa, S.R.M.R, I.G.S, Souzab, “Vermiform appendix: positions and length – a study of 377 cases and literature review” Journal of Coloproctology, 35 (4), 212-216, October-December 2015.
[28]	Abegaz, B.A., Woldeyes, D.H., Awoke, D.G., Kiros, M.D, “A study of the variations of positions of vermiform appendix in appendicitis patients in Northern Ethiopia”, J Exp Clin Anat, 15, 73-76, 2016.
[29]	El-Amin, E.I., Ahmed, G.Y., Ahmed W.A.M., Khalid, K.E., and Sakran, A.M.E.A, “Lengths and Positions of the Vermiform Appendix among Sudanese Cadavers”, AIMS Medical Science, 2 (3), 222-227, 2015.