Duplicate appendix with acute ruptured appendicitis: a case report.
Publication/Presentation Date
4-1-2015
Abstract
Duplication of the appendix is a rare congenital anomaly that, in adults, is most often found incidentally during surgery for other reasons. Appendicitis in the duplicated appendix is very rare and has been reported less than 10 times in the medical literature. We describe a 33-year-old woman with worsening periumbilical pain, nausea, vomiting, and fever. Physical examination showed localized peritonitis in the right lower quadrant. She had an elevated white blood cell count with neutrophilia. Computed tomography showed acute ruptured appendicitis. Diagnostic laparoscopy showed 2 appendices attached via separate bases to a single cecum with no other concurrent anomalies. Both appendices were removed laparoscopically. Histopathology confirmed normal appendiceal tissue in one and severe acute transmural appendicitis in the other. Awareness of appendiceal duplication and a thorough intraoperative inspection are critical to assess the presence of significant associated anomalies and avoid life-threatening complications.
Volume
100
Issue
4
First Page
662
Last Page
665
ISSN
2520-2456
Published In/Presented At
Nazir, S., Bulanov, A., Ilyas, M. I., Jabbour, I. I., & Griffith, L. (2015). Duplicate appendix with acute ruptured appendicitis: a case report. International surgery, 100(4), 662–665. https://doi.org/10.9738/INTSURG-D-14-00150.1
Disciplines
Medicine and Health Sciences
PubMedID
25875547
Department(s)
Fellows and Residents
Document Type
Article