Duplication of the vermiform appendix in an adult patient

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Abstract

Duplication of the appendix is extremely rare. A 69-year-old woman was admitted with a 2-day history of right lower quadrant abdominal pain. Physical examination was consistent with acute appendicitis. Ultrasonography and colonoscopy gave a clinical impression of an inflammatory appendiceal mucocoele. Operative findings were an enlarged and inflamed appendix with distal cystic changes. Laparoscopic wedge resection of the caecum was performed. A tubular structure with a true lumen was found in the appendix. Haematoxylin and eosin staining and trichrome staining showed both structures had a true mucosa and a muscular layer. The duplication in this case does not belong to any of the previously described types of duplication.

Original languageEnglish
Pages (from-to)e16-e17
JournalAnnals of the Royal College of Surgeons of England
Volume96
Issue number5
DOIs
StatePublished - 2014

Keywords

  • Appendix
  • Duplication
  • Intussusception
  • Mucocoele

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