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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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

Appendicitis-II: Diagnostic Studies and Management

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...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Amebiasis01:28

Amebiasis

Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

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...
Appendicitis01:19

Appendicitis

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...

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Acute appendicitis with appendix duplicity in Eritrea: A case report.

Rami Yassin1, Mhmoud Mohmed1, Tekeste Fekadu1

  • 1Department of Surgery Orotta College of Medicine and Health Sciences, Orotta Referral Hospital Asmara Eritrea.

Clinical Case Reports
|November 28, 2022
PubMed
Summary

Appendix duplicity, a rare condition, was observed in a 32-year-old male with acute appendicitis. Both appendices were surgically removed, highlighting the importance of intraoperative findings to prevent missed diagnoses.

Keywords:
acute appendicitisappendix duplicitymissed appendix

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Abdominal Surgery

Background:

  • Appendix duplicity is an exceptionally rare congenital anomaly.
  • Acute appendicitis is a common surgical emergency.
  • Accurate diagnosis and complete surgical management are crucial.

Observation:

  • A 32-year-old male presented with symptoms of acute appendicitis.
  • Intraoperatively, type B2 appendix duplicity was identified.
  • Both duplicated appendices were successfully removed via appendectomy.

Findings:

  • The patient had two appendices, a condition known as appendix duplicity.
  • The presentation mimicked typical acute appendicitis, necessitating surgical intervention.
  • Complete surgical excision of both appendices was performed.

Implications:

  • Intraoperative incidental findings are critical for diagnosing rare anomalies like appendix duplicity.
  • Appendectomy should be considered for all identified appendices in cases of duplicity.
  • Increased awareness and vigilance during surgery can improve patient outcomes for rare anatomical variations.