Objective: The aim of this study was to evaluate the type of pathology seen in appendices removed for acute appendicitis.

Design: A retrospective study.

Settings: Department of Anatomical Pathology at Ga-Rankuwa/Medunsa Academic Complex, Gauteng Province, South Africa.

Subjects: 408 Black patients who had appendectomy at Garankuwa Hospital.

Main Outcome Measures: Prevalence of appendicitis.

Results: Appendicitis was diagnosed in 65.7% of the cases of which 25% showed perforation. The disease was common in males and was predominantly seen in the second decade. Parasites were seen in 3.4% of cases and two benign tumours were seen.

Conclusion: Appendicitis is common amongst urban South African Blacks and the pattern of the disease is similar to that observed in other African urban centres.

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