AIMS Medical Science, 2015, 2(3): 222-227. doi: 10.3934/medsci.2015.3.222

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Lengths and Positions of the Vermiform Appendix among Sudanese Cadavers

1 Assistant Professor of Human Anatomy, Faculty of Applied Medical Sciences, Basic Medical Science Department, Albaha University, Kingdom of Saudi Arabia;
2 Professor of Forensic Medicine, Chairman of Forensic Morgue, Omdurman Teaching Hospital, Sudan;
3 Assistant Professor of Nursing, Faculty of Applied Medical Sciences, Nursing Department, Albaha University, Kingdom of Saudi Arabia;
4 Associate Professor of Biochemistry, Faculty of Applied Medical Sciences, Department of Medical Laboratory Sciences, Albaha University, Kingdom of Saudi Arabia;
5 Department of Human Anatomy, Faculty of Medicine, Umm Al Qura University, Makkah, Kingdom of Saudi Arabia

Background/objective: The anatomy of vermiform appendix displays great variations in length and position between different populations. The reports relating these variations to a specific etiological factor are few. This study aims to describe the positions and lengths of vermiform appendix among Sudanese cadavers. Methods: This descriptive study was carried out in Omdurman Teaching Hospital Morgue and Omdurman Islamic University-Sudan. Sixty Sudanese cadavers (30 male and 30 female), were dissected in the period from June 2013 to June 2014. The positions and the lengths of vermiform appendix were measured in millimeters. The data was analyzed by SPSS version 20. Results: The cadavers’ age ranged between 20 to 80 years according to their medico-legal reports. Retrocaecal position was mainly observed in 60%, pelvic in 35%, post-ileal in 3.3%, and pre-ileal in 1.7%. The lengths of the appendix was found < 69 mm in 23.3%, 70-110 mm in 60%, and > 110 mm in 16.7%, also the study showed insignificant difference between the lengths and ages (p < 0.08), and between males and females (p = 0.23). Age was the influencing factor for the positions of vermiform appendixes (p = 0.04). Conclusion: The study showed that the commonest lengths of the appendix were 70-110 mm while the common position was retrocaecal regardless to age or gender. This data should be considered in surgical removal of the inflamed appendix.
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1. Shugaba AI, Umar MBT, Singh SP (2006) Histomorphometric profile of the human vermiform appendix. J Med Sci 6: 445-451.    

2. Smith HF, Parker W, Kotzé SH, et al. (2013) Multiple independent appearances of the cecal appendix in mammalian evolution and an investigation of related ecological and anatomical factors. C R Palevol. doi:10.1016/j.crpv.2012.12.001.

3. Wakeley CPG (1933) The position of the vermiform appendix as ascertained by an analysis of 10,000 cases. J Anat 67: 277-283.

4. Russell RCG, Williams NS, Bulstrode CJK (2004) Bailey and Lovs short practice surgery. 24th ed. London: Hodder Headline Group. 203-206.

5. Glover JW (1988) The human vermiform appendix. TJ Arch 3(1): 31-38.

6. Sabiston DC, Townsend, Courtney M (2001) Sabiston’s textbook of surgery, the biological basis of modern surgical practice. In: Appendix. W.B. Saunders Company. Philadelphia 16(2): 918.

7. Bakheit MA, Warille AA (1999) Anomalies of the Vermiform Appendix and Prevalence of Acute Appendicitis in Khartoum. East Afr Med J 16 (6): 338-340.

8. Bakar SM, Shamim M, Salam A, et al. (2015) Microscopic studies on postmortem vermiform appendix of the adult males of Bangladesh. Irish J Med Sci. DOI: 10.1007/s11845-015-1287-4.

9. Ramsden WH, Mannion RAJ, Simpkins KC, et al. (1993) Is the appendix where you think it is—and if not does it matter? Clin Radiol 47(2): 100-103.

10. Turkoglu H, Onur MR, Poyraz AK, et al. (2012) Evaluation of normal appendix vermiform in adults with multi detector computed tomography. Clin Imaging 36(6): 758-762.

11. Paul UK (2009) Position of Vermiform Appendix: A Postmortem Study. Bangladesh J Anat 7(1): 34-36.

12. Maisel H (1960) The position of the human vermiform appendix in foetal and adult age groups. Anat Record 136: 385-389.    

13. Solanke TF (1970) The position, length and content of the vermiform appendix in Nigerians. Br J Surg 57(2): 100-102.

14. Gladstone RJ, Wakeley CPG (1924) The relative frequency of the various positions of the vermiform appendix: an ascertained by an analysis of 3,000 cases: with an account of its development. Br J Surg 11: 503-520.

15. Clegg-Lamptey JNA, Armah H, Naaeder SB, et al. (2006) Position and susceptibility to inflammation of vermiform appendix in Accra, Ghana. East Afr Med J 83(12): 670-678.

16. Ajmani ML, Ajmani K (1983) The position, length and arterial supply of vermiform appendix. Anat Anz 1(153): 369-374.

17. Mwachaka P, El-busaidy H, Sinkeet S, et al. (2014) Variations in the Position and Length of the Vermiform Appendix in a Black Kenyan Population. ISRN Anatomy 2014: 1-5.

18. Tofighi H, Taghadosi-nejad F, Abbaspour A, et al. (2013) The anatomical position of appendix in Iranian cadavers. Int J Med Toxicology and Forensic Med 3(4): 126-130.

19. Cancado Jr (1988) Apendicite aguda e outras afecçoes do apendice. Gastroenterologia clínica. 2nd Ed. S.A. Rio de Janeiro: Guanabara Koogan in Dani, R., Castro, L P. 2; 822-829.

20. Rahman MM, Khalil M, Hussain M, et al. (2007) Length of Human Vermiform Appendix in Bangladeshi People. J Bangladesh Soc Physiol 2: 13-16.

21. Ghorbani A, Forouzesh M, Kazemifar AM (2014) Variation in Anatomical Position of Vermiform Appendix among Iranian Population: An Old Issue Which Has Not Lost Its Importance. Anatomy Res Int: 1-4.

22. Paul UK, Naushaba H, Begum T, et al. (2009) Position of vermiform appendix: a postmortem study. Bangladesh J Anat 7(1): 34-36.

23. Ojeifo JO, Ejiwunmi AB, Iklaki J (1989) The position of the vermiform appendix in Nigerians with a review of the literature. West Afr J Med 8(3):198-204.

24. Golalipour MJ, Arya B, Azarhoosh R, et al. (2003) Anatomical variations of vermiform appendix in South-East Caspian Sea (Gorgan-Iran). J Anat Soc 52(2): 141-143.

25. Katzarski MM, GopalRao UK, Brady K (1979) Blood supply and position of the vermiform appendix in Zambians. Med J Zambia 13(2): 32-34.

26. Bakheit MA, Warille AA (1999) Anomalies of the vermiform appendix and prevalence of acute appendicitis in Khartoum. East Afr Med J 76(6): 338-340.

27. Rahman MM, Khalil M, Rahman H, et al. (2006) Anatomical positions of vermiform appendix in Bangladeshi people. J Bangladesh Soc Physiolo 1: 5-9.

28. Searle AR, Ismail KA, Macgregor D, et al. (2013) Changes in the length and diameter of the normal appendix throughout childhood. J Pediatric Surg 48(7): 1535-1539.

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