Duplication of appendix vermiformis: a case in a child

Eroğlu, Egemen; Erdoğan, Ergun; Gundogdu, Gokcen; Dervisoglu, S.; Yeker, Daver

doi:10.1007/s101510200010

Cited by 16 publications

(11 citation statements)

References 8 publications

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“…Till now there is no report of double appendix in a patient with intussusceptions on United States national library of medicine, and on PubMed. Most anomalies of the appendix have been observed during surgery not primarily involving the appendix [4]. This shows the rarity of the case and why the current reported case is the first one to be described.…”

Section: Discussionmentioning

confidence: 54%

A Case Report on Duplex Appendix in a Patient with Ileocolocolic Intussusceptions

Aberra¹

2017

J Gastrointest Dig Syst

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Duplex cecal appendix is a rare anatomical variation. Approximately 100 cases of double cecal appendix have been described so far. Till now there is no report of duplex appendix serving as a lead point in a patient with intussusceptions. This case report presents the first case of such presentation for the first time. This 6 month old female child presented with vomiting and diarrhea of week duration. She was tachycaridic, tachypniec and febrile. On abdominal examination she had distended and tender abdomen with hyper tympanic sound on percussion. She was irritable and had a sunken eye ball. She had leaukocytosis (20.8 × 10 3 ), hypokalemia (3.3 mmol/l) and hyponatremia (125 mmol/l). Abdominal ultrasounds were suggestive of intussusception. After stabilizing the patient we operated her for possible pre-operative diagnosis of SBO secondary to Intussusception. Intra-operatively it was an Ileocolocolic intussusception with duplex appendix as a leading point. We did resection and anastomosis. Post operatively she was transfused with two units of blood (20 ml/kg), given IV antibiotics, analgesics and followed with vital sign sheet (Table 1). She started PO feeding after 36 hours post operation and discharged on the 7 th day improved. The case is extremely important for the study of this possible anatomical variation and its association with intussusceptions. It also serves as an input for future studies in the area. Moreover, its association with the presence of other anatomical variations such as intestinal, genitourinary and bone is important. And reporting such a rare case is very essential in the development of surgical practice.

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Section: Discussionmentioning

confidence: 54%

A Case Report on Duplex Appendix in a Patient with Ileocolocolic Intussusceptions

Aberra¹

2017

J Gastrointest Dig Syst

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“…La duplicación apendicular suele ser un hallazgo incidental en el curso de una laparotomía o en estudios de imágenes. Se reportan de 60 a 80 casos desde que fue descrito inicialmente (16)(17)(18)(19)(20) en 1903…”

Section: Discussionunclassified

Apendicitis crónica en un apéndice atrófico: reporte de un caso

L.³

2016

HorizMed

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La apendicitis crónica es una entidad poco frecuente que se caracteriza por dolor en fosa iliaca derecha durante 2 años de evolución. Algunos cirujanos y patólogos niegan la existencia de ésta enfermedad, contrariamente, existen estudios de diversos autores que reportan hallazgos de apendicitis crónica. Paciente varón de 71 años de edad, con dolor en fosa iliaca derecha de 2 semanas de evolución que remitía parcialmente a lo largo de su presentación, no asociado a náuseas, vómitos ni anorexia. El examen físico reveló rebote en fosa iliaca derecha y hemograma sin leucocitosis y las formas segmentadas dentro de parámetros normales. Antecedente de 2 años de cuadros similares con resolución espontánea. Se decide realizar laparotomía exploratoria, el hallazgo operatorio fue apéndice cecal de 1 cm de longitud con adherencia de su extremo distal a la pared abdominal, ejerciendo tracción. En el postoperatorio el paciente cursó con leve distensión abdominal y remisión completa del dolor. La anatomía patológica de la pieza operatoria fue informada como apéndice cecal de 1 cm de longitud con inflamación crónica y fibrosis.

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“…The differential diagnosis includes malignancy, inflammatory bowel disease, colitis cystica profunda and infectious causes. In view of this, histological confirmation is mandatory [3]. The typical histological features include fibromuscular obliteration, where lamina propria is replaced with smooth muscle and collagen, leading to hypertrophy and disorientation of muscularis mucosa and regenerative changes, with distortion of crypt architecture.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasonographic examination showed a tubular, thick and inflamed appendix measuring 8 cm in length. The white blood cell count was 8800 ⁄ mm 3 .…”

Section: Case Reportmentioning

confidence: 99%

First case of double appendicitis complicating duplication of a vermiform appendix in an adult patient

Sani¹,

Harouna²,

Hama³

et al. 2010

Colorectal Disease

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Duplication of appendix vermiformis: a case in a child

Cited by 16 publications

References 8 publications

A Case Report on Duplex Appendix in a Patient with Ileocolocolic Intussusceptions

A Case Report on Duplex Appendix in a Patient with Ileocolocolic Intussusceptions

Apendicitis crónica en un apéndice atrófico: reporte de un caso

First case of double appendicitis complicating duplication of a vermiform appendix in an adult patient

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