Hidden Treasure: Congenital Adhesions Necessitating an Alternative Approach to Laparoscopic Appendicectomy

Congenital adhesions are rare findings in adults. We present a case of appendicitis in a middle-aged male with extensive congenital adhesions of the terminal ileum to the right lateral abdominal wall. The small bowel mesentery completely obscured the inflamed appendix. Alternative techniques were required as a result of these intraoperative discoveries, and substantial adhesiolysis was carried out before a successful appendicectomy. Although the congenital adhesions described here are extremely uncommon, the authors suggest that practitioners should be aware of them because they could change typical clinical manifestations and surgical approaches.