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Agenesis of the appendix vermiformis
M Lima1, C Antonellini, A Aquino
1Chirurgia Pediatrica, Università degli Studi di Bologna. m.lima@med.unibo.it
Summary
Agenesis of the appendix vermiformis is a rare congenital condition diagnosed during surgery for suspected appendicitis. This case highlights associated anomalies and embryological origins.
Area of Science:
- Embryology
- Gastroenterology
- Pediatric Surgery
Background:
- Agenesis of the appendix vermiformis is an exceptionally rare congenital anomaly.
- It is typically discovered incidentally during laparotomy for suspected acute appendicitis, occurring in approximately 1 in 100,000 procedures.
Observation:
- A neonate presented with respiratory distress and a left diaphragmatic hernia (CDH).
- Surgical exploration revealed absence of the appendix and mesenteriolum, with a common mesentery.
- Associated anomalies included dextroposition of the heart, hypoplastic cnemis, hexadactyly, congenital hip displacement, and bilateral cataracts.
Findings:
- The case illustrates a rare congenital malformation of the appendix.
- Embryological development of the cecal pole provides insight into the etiopathogenesis.
- Diagnosis relies on surgical exploration of the ileocecal and retrocecal regions.
Implications:
- This case underscores the importance of thorough intraoperative examination during abdominal surgery in neonates.
- Recognizing associated anomalies is crucial for comprehensive patient management.
- Understanding embryological origins aids in diagnosing and managing rare gastrointestinal malformations.