title: An unusually long appendix in a child: a case report.
abstract: BACKGROUND
  Appendicitis is the most common surgical emergency, but its diagnosis in children can be a challenge to the treating surgeon.
  
  
  METHODS
  A 10 years-old girl was admitted to the paediatrics surgical ward with a right sided abdominal pain. The initial clinical presentation was vague. She underwent an appendicectomy which revealed a very long appendix.
  
  
  CONCLUSIONS
  About half of the adult patients with appendicitis present with the known classical signs and symptoms, but the clinical scenario might be completely different in children. This case is educational as it highlights the importance of the atypical presentations of an unusually long appendix in children.
authors.affiliation: Department of General Surgery, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust Crewe, CW1 4QJ UK. ahmedwahabf@gmail.com
authors.forename: Ahmed
authors.initials: A
authors.lastname: Alzaraa
authors.forename: Sunil
authors.initials: S
authors.lastname: Chaudhry