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[Anomalous implantation of the appendiceal base. A case report]
G Lentini1, R Sini, V Lacarbonara
1Divisione di Chirurgia Generale, USL TA-2, Regione Puglia, Ospedale Civile Pagliari, Massafra Taranto.
Abstract:
The authors report a case of anomalous appendicular implantation observed in a 17-year-old male. The appendix was not found in its usual site, but upon the antero-lateral wall of ascending colon, 15 cm from the junction of the taenia of caecum. A partial mobilization of caecum was required for appendectomy. By a review of recent bibliography this anomaly seems very unusual considering the poor number of reports in literature. The anatomy and embryology of the vermiform appendix are briefly presented, and at the same time the possible pathogenetic hypothesis of this anomaly, such as described by other colleagues. The authors underscore how, knowledge of another case report, in their experience, suggested to search for appendix in an unusual site, before concluding for an appendicular agenesis.
Insights
This case report details an unusual appendix location in a 17-year-old male, found on the ascending colon instead of its typical position. Awareness of such rare anatomical variations is crucial for accurate diagnosis and surgical planning.
Area of Science:
- Medicine
- Anatomy
- Surgery
Background:
- The vermiform appendix typically resides in the right iliac fossa.
- Anatomical variations of the appendix are uncommon but can complicate diagnosis and treatment.
Observation:
- A 17-year-old male presented with an appendix not in its usual location.
- The appendix was found implanted on the antero-lateral wall of the ascending colon, 15 cm from the cecal taenia junction.
Findings:
- This anomalous appendicular implantation is exceedingly rare, with limited literature reports.
- Successful appendectomy required partial mobilization of the cecum.
Implications:
- Awareness of such rare anatomical variations is crucial for accurate diagnosis and surgical planning.
- This case emphasizes the importance of thorough exploration before concluding appendicular agenesis.