Vol. 9, Issue 1, Part C (2025)

Background: patients with abdominal pain especially those who suspected to diagnose as acute appendicitis, MD should be expected to find especially if the appendix looks normal or mildly inflamed. To determine the epidemiology of M.D at Al_Basrah city, its complication and its relation to other disease. 
Method: Prospective study conducted in surgical department in Al-Sader Teaching hospital during 4 years from February 2017 to January 2020 including 18 patients (9 males, 9 females) with different age groups (children, teenagers, middle age and old age) were admitted to ER unit complaining of acute abdominal pain mostly right iliac fossa pain (RIF) with suspicion of acute appendicitis or as a case of bowel obstruction. Surgery performed for all of them with discovery of M.D in different conditions either normal looking or inflamed or obstructed. 
Results: Total data on 18 patients were obtained in which exploring was performed as an emergent surgery. MDs are observed intra operatively. It was noted. Acute appendicitis is the most common surgical emergency that has been encountered in a percentage (66.6%) while CA colon, came in lowest percentage (5.5%). Most prevalent age of presentation was 30-40-year-old (7 cases were reported). Observations of MD were obtained mostly at 2019 (10 cases, 55.5%). 
Conclusion: Incidence of MD is common in young & adult patients. Any patients with abdominal pain especially child or teenager diagnosis of MD should be kept in mind. Proper investigation and development of facilities is so important to reach diagnosis.