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Duplication of the appendix masquerading as appendiceal tumor: a case report
Jumpei Shibata1, Akihiro Tomida2, Masaoki Hattori2
1Department of Surgery, Nishichita General Hospital, 3-1-1 Nakanoike, Tokai, Aichi, 477-8522, Japan. sweetpotato7648@yahoo.com.
Surgical Case Reports
|October 30, 2023
Summary
Appendix duplication is a rare adult condition mimicking appendiceal tumors. This case report details a Type A duplication, emphasizing diagnostic challenges and the need for vigilance in identifying this congenital anomaly.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Anomalies
Background:
- Appendix duplication is exceptionally rare in adults.
- It can mimic appendiceal tumors, presenting diagnostic challenges.
- This case features a Type A duplication, highlighting diagnostic intricacies.
Purpose of the Study:
- To report a rare case of adult appendix duplication.
- To emphasize the diagnostic challenges in differentiating it from appendiceal tumors.
- To highlight the importance of recognizing this congenital anomaly.
Main Methods:
- A 69-year-old male presented with a positive occult blood test.
- Endoscopy revealed atypical appendiceal orifice findings.
- Imaging and biopsy suggested a tumor, leading to laparoscopic resection.
- Histopathology confirmed Type A appendix duplication.
Main Results:
- Histopathological analysis revealed appendix duplication with bifurcation into two lumens.
- The patient underwent successful laparoscopic ileocecal resection.
- No postoperative complications were observed.
Conclusions:
- Appendix duplication is a critical differential diagnosis for appendiceal tumors.
- Type A duplication presents significant preoperative diagnostic challenges for surgeons.
- Early identification of this congenital anomaly is crucial to prevent complications.
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