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A rare case of duplicated appendix presenting as perforated appendicitis
Ashwin Raja A1, Tamilarasy Vasanthakumaran2
1Senior Resident, Department of General Surgery, SRM Medical College, Hospital and Research Centre, Chennai, Kancheepuram District, Tamil Nadu, India.
Journal of Surgical Case Reports
|July 24, 2020
Summary
Appendiceal duplication is a rare anomaly. This case report highlights a perforated appendicitis in a duplicated appendix, emphasizing the need for surgical vigilance.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendiceal anomalies are uncommon, with appendiceal duplication occurring in approximately 0.004% of cases.
- Appendicitis in a duplicated appendix is exceedingly rare, with fewer than 10 reported instances.
Observation:
- An 18-year-old male presented with imaging-diagnosed perforated appendicitis.
- Surgical exploration revealed appendiceal duplication, with one appendix perforated and necrotic, and the second acutely inflamed.
Findings:
- Histopathology confirmed perforation and necrosis in one appendix and acute inflammation in the other.
- This case underscores the diagnostic challenge of appendiceal duplication.
Implications:
- Surgeons should maintain a high index of suspicion for appendiceal duplication in suspected appendicitis cases.
- Thorough intraoperative examination of the cecum is crucial to prevent missed diagnoses and subsequent complications.
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