Atypical Duplex appendix arising from the ascending colon: a case report

Duplex or vermiform appendix refers to the presence of an appendix beside the naturally occurring one. Although, duplex appendix emerges from the caecum most of the time, yet it is encountered in other parts of the colon. Inflammation of duplex appendix may represent not only a clinical, but also a...

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Bibliographic Details
Published in:	Journal of medical case reports Vol. 18; no. 1; pp. 188 - 5
Main Authors:	Elsherbini, Ahmed Taha, Atta, Mohamed A, Elshahat, Sahar, Emara, Mohamed H
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 29-03-2024 BioMed Central BMC
Subjects:	Abdomen Adult Appendectomy Appendicitis Appendicitis - complications Appendicitis - diagnostic imaging Appendicitis - surgery Appendix Appendix - diagnostic imaging Appendix - surgery Ascending colon Classification Colon Colon, Ascending - diagnostic imaging Colon, Ascending - surgery Diverticulitis Diverticulitis - surgery Duplex appendix Emergency medical care Histopathology Humans Inflammation Laparoscopy Male Medical diagnosis Metronidazole Pain Recurrent acute abdomen Surgeons United States > US Appendectomy Ascending colon Recurrent acute abdomen Appendicitis Duplex appendix
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Summary:	Duplex or vermiform appendix refers to the presence of an appendix beside the naturally occurring one. Although, duplex appendix emerges from the caecum most of the time, yet it is encountered in other parts of the colon. Inflammation of duplex appendix may represent not only a clinical, but also a surgical dilemma, and this would be confusing further among patients who already had prior appendectomy. We present a case of 29-years old Egyptian male patient with history of appendectomy one and half year before presenting to the emergency department with recurrent acute abdominal pain that was linked to duplex appendicitis abnormally emerged from the mid-ascending colon. The first episode was treated conservatively considering atypical right colon diverticulitis as a potential differential diagnosis. Seven months later the patient was treated by laparoscopic appendectomy and experienced an uneventful pot-operative course. Duplex appendicitis, though rare, should be considered in the differential diagnosis of recurrent acute abdomen even after appendectomy.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1752-1947 1752-1947
DOI:	10.1186/s13256-023-04259-4