Objective: To determine the association of socioeconomic strata with fecolith in acute appendicitis.
Each resected specimen was examined for presence of fecolith and sent for histopathological examination.
On naked eye examination fecolith was present in 20 (50%) patients of high social class and 9 (22.
In obstructive appendicitis fecolith obstructs the appendiceal lumen in approximately 35% of acutely inflamed appendices.
The high incidence in economically developed countries suggest that the change from a high to a low-residue diet is associated with increase fecolith and subsequent acute appendicitis6.
This study was conducted to determine the association of socioeconomic strata with fecolith in acute appendicitis.
When infection of the appendix is considered then immediately one recalls the pathology lab museum specimens of appendicitis resting in formalin jars with fecolith
impaction or round worm blocking its lumen with resultant swollen appendix.
On CT abdomen a large diverticular mass with dilated intestinal loop with fecolith
Obstruction may be caused by a fecolith
, appendicolith, lymphoid follicle, or foreign body.
The causes for appendicitis rather, obstruction of appendicular lumen is inspisated stool called fecolith
or appendicolith, lymphoid hyperplasia, vegetable matter or seeds, parasites or neoplasm.
In the remaining 8 cases, an additional right iliac fossa McBurney incision with muscle splitting in 5 patients and muscle cutting in 3 cases had to be done in view of dense adhesions to lateral abdominal wall, retrocaecal position of appendix, and fecolith
dislodgement and auto appendectomy noticed intraoperatively in 2 cases.
Obstruction is commonly post-inflammatory, but it can also be due to fecoliths
, congenital obstruction of Gerlach's valve, or extramural compression.