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Report Case of Appendicitis with Appendicular Duplication: A Rare Anomaly, not to be Overlooked!

Author: Youssef Kerroum, Mohamed Ahallat, Anas Ahallat

Category: JMSR Surgery


The appendicular duplication is a unique clinical situation, with a limited number of reported cases in the literature. The Knowledge of the variations in the characteristics and positioning of the appendix is important to surgeons. The diagnosis of appendicitis remains clinical, requiring a mixture of clinical observation, surgical sense associated to radiology imaging with laboratory tests. The objective of this study is to present this anomaly and remind surgeons of its existence. A 17-year-old male patient diagnosed with appendicitis was operated on using a medial mini-laparotomy and two appendices emerging from the caecum were found. Our case was classified as type B1 according to Cave-Wallbridge classification, which is the most frequent. Although very rare, every surgeon must be aware and watchful of this anomaly. Missing a second appendix could be the cause of further complications and a source of medico legal issues.

Keywords: Appendectomy, Appendicitis, Appendicular duplication


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