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Related Concept Videos

Appendicitis01:19

Appendicitis

21
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
21
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

4.3K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.3K
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

926
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
926
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

23
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
23

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Related Experiment Video

Updated: Apr 25, 2026

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Appendicitis in double cecal appendix: Case report.

José Roberto Alves1, Icaro Godeiro de Oliveira Maranhão1, Patrick Vanttinny Vieira de Oliveira1

  • 1José Roberto Alves, Department of Integrated Medicine, University Hospital Onofre Lopes, Federal University of Rio Grande do Norte, 59012-300 Natal - Rio Grande do Norte, Brazil.

World Journal of Clinical Cases
|August 19, 2014
PubMed
Summary

A rare double cecal appendix was found during surgery for acute appendicitis. This case highlights the importance of a thorough cecum evaluation to avoid missing a second appendix.

Keywords:
Anatomic variationAppendectomyAppendicitisAppendixGeneral surgery

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Abdominal Surgery

Background:

  • Double cecal appendix is an extremely rare anatomical anomaly, with fewer than 100 documented cases globally.
  • Diagnosis often occurs incidentally during emergency appendectomies for appendicitis.

Observation:

  • A 36-year-old obese male presented with acute abdominal pain, nausea, vomiting, and fever.
  • Imaging revealed acute appendicitis with signs of intestinal obstruction; laparotomy confirmed appendicitis and an additional cecal appendix.
  • A second intestinal loop obstruction was noted, leading to the identification of the second appendix.

Findings:

  • Pathological examination confirmed acute inflammation in both cecal appendices.
  • The patient underwent a double appendectomy and unnecessary segmental ileectomy.

Implications:

  • This case underscores the critical need for meticulous surgical evaluation of the cecum, including routine retroperitoneal release.
  • Thorough assessment is essential to prevent the oversight of a second cecal appendix during appendectomy.
  • Enhanced intraoperative vigilance can improve diagnostic accuracy and patient outcomes in rare anatomical variations.