Introduction: The present Study was planned to determine the role of histopathological examination of all surgically resected appendix to rule out various incidental (neuroedocrine tumor, parasitic infection )and common findings like acute appendicitis, which were difficult to diagnose by any other modality of diagnosis. Material and Methods: Present study was done retrospectively in Pacific Institute of Medical Sciences, Udaipur from January 2018 to December 2018. 144 patients were diagnosed acute appendicitis or recurrent acute appendicitis, who underwent appendectomy, either laparoscopic or open, were included. These patients were reviewed with Gross, patients’ age, sex, and histopathological reports. Results: A total of 144 specimens were analyzed 80 (55.56%) were males and 64 (44.44%) were females. M:F ratio 1.25:1. Histopathological examination showed healing appendicitis was the most common finding (44.46%) followed by acute appendicitis (35.42%), Recurrent appendicitis 6 (4.17%), Acute appendicitis with periappendicitis 5 (3.47%), Acute suppurative appendicitis 12 (8.33%), Enterobius vermicularis (Parasitic) 1 (0.69%), Tubercular pathology 1 (0.69%), Gangrenous appendicitis 2 (1.39%), Appendicular endometrosis 1(0.69%). Conclusion: There is a higher incidence of appendicitis between 31 to 40 years. The necessity for histopathological evaluation is increase due to wide range of diagnosis and its mimics to various pelvic pathology clinically.

Keywords: Appendicitis; Histopathological examination; Incidental findings; Pelvic pathology.