Acute Appendicitis in Appendiceal Duplicity: A Case Report
Eduardo R Braga, Guilherme B Bitencourt, Ana C Romeo, Ingrid M Rodrigues, Bruna S Lopes, Clara A Prado, Ana Luísa E Uhlein, Natália N Ribeiro, Rafael S Cajazeira, Alexsandro DS Sousa
Keywords :
Acute abdomen, Appendectomy, Appendicitis, Case report, Double appendix
Citation Information :
Braga ER, Bitencourt GB, Romeo AC, Rodrigues IM, Lopes BS, Prado CA, Uhlein AL, Ribeiro NN, Cajazeira RS, Sousa AD. Acute Appendicitis in Appendiceal Duplicity: A Case Report. Panam J Trauma Crit Care Emerg Surg 2024; 13 (3):156-158.
Introduction: The duplicated appendix is a rare condition, with an incidence of 0.004–0.009%, first reported in 1892.
Case description: In this context, we present the case of an 18-year-old female patient admitted with acute gangrenous appendicitis with the presence of fecalith and duplicated appendix confirmed by anatomopathological examination.
Discussion: Diagnosis can be challenging with imaging exams like computed tomography (CT) and ultrasound (US), often only identified during surgery. If detected, both appendices should be removed to prevent complications.
Conclusion: Surgeons must be aware of this condition to avoid repeated appendicitis episodes, ensure accurate diagnosis, and prevent medico-legal issues.
Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990;132(5):910–925. DOI: 10.1093/oxfordjournals.aje.a115734
Stone HH, Sanders SL. Incidence of fecaliths in acute appendicitis. Ann Surg 1970;171(4):537–540. DOI: 10.1097/00000658-197004000-00005
Davis JS. Appendiceal duplication and its significance. J Am Med Assoc 1912;58:259–261. DOI: 10.1001/jama.1912.04320090033008
Ochsner A. Surgical embryology and anatomy of the appendix. Surg Gynecol Obstet 1935;60:450–460. DOI: 10.1097/00000658-193503000-00001
Gera P, Shah D, Shah A. A rare case of appendiceal duplication with appendicitis in both appendices. J Surg Case Rep 2020;(5). DOI: 10.1093/jscr/rjaa117
Alsaud JS, Alnumayr H, Aljamaan S, et al. Acute appendicitis in a double appendix: a case report. Cureus 2023;15:e49799. DOI: 10.7759/cureus.49799
Allah HK, Skiredj AL, Boughaleb F, et al. Duplicated appendix, a challenge diagnosis: about 2 cases report. Sch J Med Case Rep 2021;9(5):591–593. DOI: 10.36347/sjmcr.2021.v09i05.035
A AR, Vasanthakumaran T. A rare case of duplicated appendix presenting as perforated appendicitis. J Surg Case Rep 2020;2020(7):rjaa133. DOI: 10.1093/jscr/rjaa133
Nageswaran H, Khan U, Hill F, et al. Appendiceal duplication: a comprehensive review of published cases and clinical recommendations. World J Surg 2018;42(2):574–581. DOI: 10.1007/s00268-017-4178-1
Dubhashi SP, Dubhashi UP, Kumarr H, et al. Double appendix. Indian J Surg 2015;77(Suppl 3):1389–1390. DOI: 10.1007/s12262-013-1014-1
