title: Acute abdominal pain presenting as a rare appendiceal duplication: a case report.
abstract: BACKGROUND
  Appendiceal duplication is a rare anomaly that can manifest as right lower quadrant pain. There are several variations described for this condition. We recommend aggressive operative management should this anatomical variation present in the presence of acute appendicitis.
  
  
  METHODS
  We report the case of a 15-year-old African American girl who presented to our hospital with right lower quadrant pain and was subsequently found to have appendiceal duplication.
  
  
  CONCLUSIONS
  There are two categorical systems that have described and stratified appendiceal duplication. Both classification systems have been outlined and referenced in this case report. A computed tomography scan has been included to provide a visual aid to help identify true vermiform appendiceal duplication. The presence of this anatomical abnormality is not a reason for surgical intervention; however, should this be found in the setting of acute appendicitis, aggressive resection of both appendices is mandatory.
authors.affiliation: Clinical Faculty, Department of Surgery, Minimally Invasive Surgery Consortium, University of Texas Medical School at Houston, 16605 SW Freeway, Suite 430, Sugar Land, TX 77479, USA. StrikerMD@hotmail.com.
authors.forename: Ali
authors.initials: A
authors.lastname: Mahmood
authors.forename: Nadia F
authors.initials: NF
authors.lastname: Mahmood
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Williams