ISSN 0303-5212
 

Review Article 


Morphological appraisal of the vermiform appendix: A systematic review

Elghazaly A Elghazaly, Ahmed Abdalla Jarelnape.


Abstract
Vermiform appendix (VA) is frequently associated with anatomical variations. However, there remains a contradiction in determining the most prevalent positions of VA despite numerous previous studies. This systematic review examined nine postmortem studies that explored anatomical positions of VA. A comprehensive search was conducted in databases including Cochrane Library, Google Scholar, Web of Science Core Collection, PubMed, and Scopus. Only English-language articles published between January 2013 and December 2022 were considered. The process involved study selection, data extraction, and aggregating the findings. The literature identifies eight distinct types of appendicular positions: retrocecal, pelvic, subcecal, preileal, subileal or promontory, subhepatic, and paracecal. Among these types, the most common are the pelvic and retrocecal positions, accounting for 38.3% and 34.3%, respectively. Subcecal and postileal positions are less prevalent, with rates of 10.4% and 9.5%, respectively. The remaining types, including subileal/promontory, paracecal, preileal, subhepatic, and others, have prevalence rates of 2.9%, 2.1%, 1.4%, and 1.1%, respectively. Overall, males exhibit a higher incidence of these appendicular positions compared to females. Among postmortem studies, the pelvic position is the most common, representing 38.3% of cases. However, there are no clear theories explaining the differences in VA position between sexes. This study aims to discuss previous research findings on VA morphology and establish terminology for describing its common positions in humans.

Key words: Vermiform appendix, morphological appraisal, cadaveric review.


 
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Pubmed Style

Elghazaly EA, Jarelnape AA. Morphological appraisal of the vermiform appendix: A systematic review. RMJ. 2024; 49(3): 686-690. doi:10.5455/rmj.20231217034702


Web Style

Elghazaly EA, Jarelnape AA. Morphological appraisal of the vermiform appendix: A systematic review. https://www.rmj.org.pk/?mno=181656 [Access: September 12, 2024]. doi:10.5455/rmj.20231217034702


AMA (American Medical Association) Style

Elghazaly EA, Jarelnape AA. Morphological appraisal of the vermiform appendix: A systematic review. RMJ. 2024; 49(3): 686-690. doi:10.5455/rmj.20231217034702



Vancouver/ICMJE Style

Elghazaly EA, Jarelnape AA. Morphological appraisal of the vermiform appendix: A systematic review. RMJ. (2024), [cited September 12, 2024]; 49(3): 686-690. doi:10.5455/rmj.20231217034702



Harvard Style

Elghazaly, E. A. & Jarelnape, . A. A. (2024) Morphological appraisal of the vermiform appendix: A systematic review. RMJ, 49 (3), 686-690. doi:10.5455/rmj.20231217034702



Turabian Style

Elghazaly, Elghazaly A, and Ahmed Abdalla Jarelnape. 2024. Morphological appraisal of the vermiform appendix: A systematic review. Rawal Medical Journal, 49 (3), 686-690. doi:10.5455/rmj.20231217034702



Chicago Style

Elghazaly, Elghazaly A, and Ahmed Abdalla Jarelnape. "Morphological appraisal of the vermiform appendix: A systematic review." Rawal Medical Journal 49 (2024), 686-690. doi:10.5455/rmj.20231217034702



MLA (The Modern Language Association) Style

Elghazaly, Elghazaly A, and Ahmed Abdalla Jarelnape. "Morphological appraisal of the vermiform appendix: A systematic review." Rawal Medical Journal 49.3 (2024), 686-690. Print. doi:10.5455/rmj.20231217034702



APA (American Psychological Association) Style

Elghazaly, E. A. & Jarelnape, . A. A. (2024) Morphological appraisal of the vermiform appendix: A systematic review. Rawal Medical Journal, 49 (3), 686-690. doi:10.5455/rmj.20231217034702