Acute Abdominal Pain Presenting as Appendiceal Duplication
Acute Abdominal Pain Presenting as Appendiceal Duplication
Introduction 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.
Case presentation 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.
Conclusion 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.
Appendiceal duplication is a rare anomaly that has been described less than 200 times in the literature. The incidence of duplicated appendices has been previously reported to be approximately 0.0004%. This anatomical finding has been associated with intestinal, bone and genitourinary abnormalities as well. While the presence of appendiceal duplication in the absence of inflammation is not always and/or immediately a surgical issue, once there is evidence of appendicitis, prompt and aggressive surgical intervention is necessary.
Abstract and Introduction
Abstract
Introduction 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.
Case presentation 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.
Conclusion 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.
Introduction
Appendiceal duplication is a rare anomaly that has been described less than 200 times in the literature. The incidence of duplicated appendices has been previously reported to be approximately 0.0004%. This anatomical finding has been associated with intestinal, bone and genitourinary abnormalities as well. While the presence of appendiceal duplication in the absence of inflammation is not always and/or immediately a surgical issue, once there is evidence of appendicitis, prompt and aggressive surgical intervention is necessary.
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