open access

Vol 76, No 4 (2017)
Original article
Submitted: 2017-01-25
Accepted: 2017-03-16
Published online: 2017-03-27
Get Citation

Morphological variations of the vermiform appendix in Iranian cadavers: a study from developing countries

S. Mohammadi, A. Hedjazi, M. Sajjadian, M. Rahmani, M. Mohammadi, M. D. Moghadam
·
Pubmed: 28353300
·
Folia Morphol 2017;76(4):695-701.

open access

Vol 76, No 4 (2017)
ORIGINAL ARTICLES
Submitted: 2017-01-25
Accepted: 2017-03-16
Published online: 2017-03-27

Abstract

Background: The vermiform appendix is a worm-like tube containing a large amount of lymphoid follicles. In our knowledge, there is a little standard data about the vermiform appendix in Iranian population. Therefore, the objective of this study was to investigate the normal appendix size in Iranian cadavers.

Materials and methods: A cross-sectional study was undertaken between June 2014 and July 2015, in the autopsy laboratory, Legal Medicine Organisation, Razavi Khorasan province, Iran. A total of 693 cadavers with the mean age of 40.46 ± 20.99 years were divided into 10 groups. After writing down position of the appendix, the length, diameter and weight of the appendix were measured. Statistical analysis was performed using SPSS software.

Results: The mean values of the demographic characteristics included — age: 40.46 ± 20.99 years; weight: 63.47 ± 17.84 kg; height: 159.95 ± 28.23 cm. The mean values of the appendix length, diameter, weight and index in the cadavers were 8.52 ± 2.99 cm, 12.17 ± 4.53 mm, 6.43 ± 3.26 g and 0.013 ± 0.01, respectively. The most common position of the appendix was retrocaecal in 71.7% of cases. Significant correlations were evident between the value of demographic data and appendix size (p < 0.05). The diameter (p = 0.002) and index of the appendix (p = 0.003) showed significant difference between males and females.

Conclusions: Having standard data on the vermiform appendix is useful for clinicians as well as anthropologists. The findings of the present study can provide information about morphologic variations of the appendix in Iranian population.  

Abstract

Background: The vermiform appendix is a worm-like tube containing a large amount of lymphoid follicles. In our knowledge, there is a little standard data about the vermiform appendix in Iranian population. Therefore, the objective of this study was to investigate the normal appendix size in Iranian cadavers.

Materials and methods: A cross-sectional study was undertaken between June 2014 and July 2015, in the autopsy laboratory, Legal Medicine Organisation, Razavi Khorasan province, Iran. A total of 693 cadavers with the mean age of 40.46 ± 20.99 years were divided into 10 groups. After writing down position of the appendix, the length, diameter and weight of the appendix were measured. Statistical analysis was performed using SPSS software.

Results: The mean values of the demographic characteristics included — age: 40.46 ± 20.99 years; weight: 63.47 ± 17.84 kg; height: 159.95 ± 28.23 cm. The mean values of the appendix length, diameter, weight and index in the cadavers were 8.52 ± 2.99 cm, 12.17 ± 4.53 mm, 6.43 ± 3.26 g and 0.013 ± 0.01, respectively. The most common position of the appendix was retrocaecal in 71.7% of cases. Significant correlations were evident between the value of demographic data and appendix size (p < 0.05). The diameter (p = 0.002) and index of the appendix (p = 0.003) showed significant difference between males and females.

Conclusions: Having standard data on the vermiform appendix is useful for clinicians as well as anthropologists. The findings of the present study can provide information about morphologic variations of the appendix in Iranian population.  

Get Citation

Keywords

vermiform appendix, cadaver, anatomic variation

About this article
Title

Morphological variations of the vermiform appendix in Iranian cadavers: a study from developing countries

Journal

Folia Morphologica

Issue

Vol 76, No 4 (2017)

Article type

Original article

Pages

695-701

Published online

2017-03-27

Page views

5238

Article views/downloads

7874

DOI

10.5603/FM.a2017.0032

Pubmed

28353300

Bibliographic record

Folia Morphol 2017;76(4):695-701.

Keywords

vermiform appendix
cadaver
anatomic variation

Authors

S. Mohammadi
A. Hedjazi
M. Sajjadian
M. Rahmani
M. Mohammadi
M. D. Moghadam

References (28)
  1. Ahmed I, Asgeirsson KS, Beckingham IJ, et al. The position of the vermiform appendix at laparoscopy. Surg Radiol Anat. 2007; 29(2): 165–168.
  2. Bakar SM, Shamim M, Alam GM, et al. Negative correlation between age of subjects and length of the appendix in Bangladeshi males. Arch Med Sci. 2013; 9(1): 55–67.
  3. Banerjee A, Kumar IA, Tapadar A, et al. Morphological Variations in the Anatomy of Caecum and Appendix - A Cadaveric Study. NJCA. 2012; 1: 30–35.
  4. Borley NR. Gray’s anatomy; the anatomical basis of clinical practice. 39th ed. Churchill Livingstone, Edinburgh 2005: 1095–1395.
  5. Chaisiwamongkol K, Chantaupalee T, Techataweewan N, et al. Position Variation of Vermiform Appendix in Northeast Thai Cadavers. Srinagarind Med J. 2010; 25: 250–255.
  6. Clegg-Lamptey JNA, Armah H, Naaeder SB, et al. Position and susceptibility to inflammation of vermiform appendix in Accra, Ghana. East Afr Med J. 2006; 83(12): 670–673.
  7. Denjalić A, Delić J, Delić-Custendil S, et al. [Variations in position and place of formation of appendix vermiformis found in the course of open appendectomy]. Med Arh. 2009; 63(2): 100–101.
  8. Geethanjali HT, Subhash LPA. study of variations in the position of vermiform appendix. Anatomica Karnataka. 2011; 5: 17–23.
  9. Ghorbani A, Forouzesh M, Kazemifar A. Variation in anatomical position of vermiform appendix among iranian population: an old issue which has not lost its importance. Anat Res Int. 2014; 2014: 1–4.
  10. Golalipour MJ, Arya B, Azarhoosh R, et al. Anatomical Variations Of Vermiform Appendix In South-East Caspian Sea (Gorgan-IRAN). J Anat Soc India. 2003; 52: 141–143.
  11. Gupta G, Srivastava SK, Mathur SK, et al. Histomorphometric characteristics of human vermiform appendix with special reference to lymphoid tissue . J Morphol Sci. 2012; 29: 135–139.
  12. Herscu G, Kong A, Russell D, et al. Retrocecal appendix location and perforation at presentation. Am Surg. 2006; 72(10): 890–893.
  13. Jorge A, Ferreira JR, Pacheco YG. Development of the vermiform appendix in children from different age ranges. Braz J Morphol Sci. 2009; 26: 68–76.
  14. Katzarski M, Gopal Rao UK, Brady K. Blood supply and position of the vermiform appendix in Zambians. Med J Zambia. 1979; 13(2): 32–34.
  15. Manisha C, Divyesh K, Sanjay D, et al. A study of morphology of vermifrom appendix in 200 cases. Int J Med Res Health Sci. 2013; 2(4): 780.
  16. Monks G, Blake JB. The normal appendix: its length, its mesentery, and its position or direction, as observed in six hundred and fifty-six autopsies. Boston Med Surg J. 1902; 147(22): 581–583.
  17. Mwachaka P, El-Busaidy H, Sinkeet S, et al. Variations in the position and length of the vermiform appendix in a black kenyan population. ISRN Anat. 2014; 2014: 871048.
  18. Ndoye JMN, Ndiaye As, Ndiaye Ab, et al. [Cadaveric topography and morphometry of the vermiform appendix]. Morphologie. 2005; 89(285): 59–63.
  19. Rahman M, Khalil M, Khalil M, et al. Mass of the Vermiform Appendix in Bangladeshi People. J Bangladesh Soc Physiol. 2009; 3(0).
  20. Raschka S, Raschka C. [On the relationship between body dimensions and appendix length]. Anthropol Anz. 2008; 66(1): 67–72.
  21. Sadler TW, Langman J. Medical embryology. 10th ed. Lippincott Williams & Wilkins, Philadelphia 2012: 224–226.
  22. Salwe NA, Kulkarni PG, Sinha RS. Study of Morphological Variations of Vermiform Appendix and Caecum in Cadavers of Western Maharashtra Region. IJAPAS. 2014; 2: 31–41.
  23. Snell R. Clinical Anatomy by Regions. 9th ed. Lippincott Williams & Wilkins, Philadelphia 2012: 182.
  24. Tofighi H, Taghadosi-Nejad F, Abbaspour A, et al. The anatomical position of appendix in Iranian cadavers. Int J Med Toxicol Forensic Med. 2013; 3: 126–130.
  25. Uttam KP, Humaira N, Tahmina B, et al. Position of vermiform appendix: a postmortem study. Bangladesh J Anat. 2009; 7: 34–36.
  26. Wakeley CP. The position of the vermiform appendix as ascertained by an analysis of 10,000 cases. J Anat. 1993; 67: 277–283.
  27. Wani I. K-Sign in retrocaecal appendicitis: a case series. Cases J. 2009; 2(1): 157.
  28. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE. Gray’s anatomy. In: Alimentary System. 39th Ed. Churchill Livingstone, New York 2005: 1775–1776.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl