Double appendixes: A rare case report

Markou, Markos; Sotiropoulou, Rodopi; Perente, Sempachedin; Kougioumtzi, Ioanna-Triada; Foutzitzi, Soultana; Chatzipantelis, Paschalis; Botaitis, Sotirios

doi:10.1002/ccr3.5330

Cited by 5 publications

(8 citation statements)

References 9 publications

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“…Appendiceal anomalies are among the rarest of their kind, with a double appendix having an incidence of 0.004% to 0.009%. They are usually detected unintentionally and intraoperatively the majority of the time [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…The 'Cave-Wallbridge' classification classified appendicular anatomical variation into four broad categories based on appendicular location: A, B, C, and D (Figure 3 ). Category B is subdivided into B1, B2, B3, and B4 [ 2 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…The two were inflamed with no other anomaly around them. Since a double appendix is challenging to diagnose by standard imaging tests (ultrasonography and computed tomography) and cannot be assured by preoperative radiological examinations [ 2 ], our discovery of a double appendix was made intraoperatively. Our case was even more challenging since CT access was unavailable.…”

Section: Discussionmentioning

confidence: 99%

“…A recent assessment found that between 0.004% and 0.009% of the appendices were duplicated. Diagnosing a double appendix is complicated and, most of the time, discovered during surgery, which makes the complications that arise from an unknown double appendix more severe and life-threatening for the patient [1][2][3][4][5]. This case report presents a case of inflamed appendix duplication defects.…”

Section: Introductionmentioning

confidence: 94%

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Acute Appendicitis in a Double Appendix: A Case Report

Alsaud,

Alnumayr,

Aljamaan

et al. 2023

Cureus

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Acute appendicitis is one of the most common non-traumatic emergency surgical pathologies, and appendix duplication is a congenital defect that is challenging to diagnose. It is often discovered incidentally during laparoscopy or laparotomy. If a double appendix or other associated anomalies are not detected, complications can be severe and potentially fatal. There are few cases of appendicular duplication. We report the incidental discovery of a double appendix in a 36-year-old man who came to the emergency department complaining of sharp right iliac fossa pain for three days and other features of appendicitis. During surgery, it was surprisingly discovered that he had two appendices. Both were inflamed, and an appendectomy was done for both of them. This case emphasizes the significance of this condition as a misdiagnosis might result in serious, potentially fatal consequences for the patient in addition to other health and legal issues.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

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Acute Appendicitis in a Double Appendix: A Case Report

Alsaud,

Alnumayr,

Aljamaan

et al. 2023

Cureus

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“…Agenesis of the appendix, its duplication, and triplication are rare anomalous variations of the appendix that are reported [2]. The incidence of duplication of the appendix appears to be 0.004% to 0.009%, with less than a hundred cases reported worldwide [3]. Surgeons need to be aware of such anomalous appendices that may account for the differences in clinical presentation as well as operative intervention.…”

Section: Introductionmentioning

confidence: 99%

An Unusual Tale of Two Appendices in a Case of Acute Appendicitis: One Gangrenous, One Inflamed

Rathore¹,

Raveendran²,

Sadhasivan³

et al. 2022

Cureus

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Appendicectomy is one of the most common surgeries performed worldwide. The incidence of acute appendicitis is higher among adolescents and young adults. Though various positions of the appendix, such as retrocecal, pelvic, subcecal, pre-or post-ileal, and their clinical implications have been well established, appendiceal anomalies like duplication or triplication of the appendix are yet to receive attention due to their very low incidence. We report an incidental finding of a duplicated appendix in a 19-year-old girl who presented with features of acute appendicitis. What makes this case report an interesting learning point for young surgeons is the identification of a perforated appendix with gangrene at the tip, along with an inflamed duplicated appendix. This report alerts us to the need for a thorough intraoperative inspection, to look for possible anatomical abnormalities, and to take the right management decisions to avoid unnecessary re-explorations. While operating a patient with features of acute appendicitis, a failure to identify a duplicated appendix is comparable to abandoning an inflamed appendix in-situ. Such instances not only increase the morbidity due to complications like the formation of pelvic abscesses, wound dehiscence, and surgical site infection, but also cause mortality.

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