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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Related Experiment Video

Updated: Mar 17, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Perforated double appendicitis: Horseshoe type.

Serap Pamak Bulut1, Neslihan Cabıoğlu2, Muzaffer Akıncı1

  • 1Clinic of General Surgery, Haseki Training and Research Hospital, İstanbul, Turkey.

Ulusal Cerrahi Dergisi
|July 21, 2016
PubMed
Summary

Appendix vermiformis duplex, a rare condition, can lead to complications if missed during surgery. Surgeons should consider classifications like Cave-Wallbridge for accurate diagnosis during appendectomy.

Keywords:
Appendix vermiformis duplexappendiceal duplicationdouble appendicitisdouble appendixperforated appendicitis

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy

Background:

  • Appendix vermiformis duplex is a rare congenital anomaly.
  • Missed diagnosis can result in complications and medicolegal issues.

Observation:

  • A case report of a patient presenting with perforated appendicitis during emergency laparotomy.
  • The patient exhibited a horseshoe-type duplication of the appendix.

Findings:

  • The study highlights the importance of recognizing appendix vermiformis duplex.
  • The Cave-Wallbridge classification aids in identifying variations in appendix location and shape.

Implications:

  • Emphasizes the need for surgical awareness of appendix duplication during appendectomy.
  • Proper identification prevents potential patient harm and medicolegal consequences.