title: Duplicate appendix with acute ruptured appendicitis: a case report.
abstract: Duplication of the appendix is a rare congenital anomaly that, in adults, is most often found incidentally during surgery for other reasons. Appendicitis in the duplicated appendix is very rare and has been reported less than 10 times in the medical literature. We describe a 33-year-old woman with worsening periumbilical pain, nausea, vomiting, and fever. Physical examination showed localized peritonitis in the right lower quadrant. She had an elevated white blood cell count with neutrophilia. Computed tomography showed acute ruptured appendicitis. Diagnostic laparoscopy showed 2 appendices attached via separate bases to a single cecum with no other concurrent anomalies. Both appendices were removed laparoscopically. Histopathology confirmed normal appendiceal tissue in one and severe acute transmural appendicitis in the other. Awareness of appendiceal duplication and a thorough intraoperative inspection are critical to assess the presence of significant associated anomalies and avoid life-threatening complications.
authors: 1 Minimally Invasive and Bariatric Surgery, Lutheran Medical Center, Brooklyn, New York, USA.
authors: Sharique
authors: S
authors: Nazir
authors: Alex
authors: A
authors: Bulanov
authors: Mohammed Iyoob Mohammed
authors: MI
authors: Ilyas
authors: Ibrahim I
authors: II
authors: Jabbour
authors: Larry
authors: L
authors: Griffith
mesh_terms: D000328:Adult; D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery*; D001065:Appendix / Q000002:abnormalities*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy; D010538:Peritonitis / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Acute abdomen; Appendiceal duplication; Cave-Wallbridge classification; Ruptured appendicitis