Appendix vermiformis duplex - Eine seltene überraschung

Translated title of the contribution: Appendix vermiformis duplex - An unexpected surprise

Babak Sobhian, Margit Mostegel, Claudia Kunc, Josef Karner

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Duplication of the vermiform appendix is extremely rare. It is found in only 1/25.000 patients (0.004%) operated on for acute appendicitis. A 60-year-old male patient was hospitalized for a peridiverticular sigmoid abscess without signs of a free abdominal perforation and an abscess cavity in the small pelvis. A Hartmann's resection and an appendectomy (the vermiform appendix was part of the abscess wall) were performed. The pathology report described an external appendicitis. After 3 months the intestine was successfully reanastomosed. During mobilisation of the coecum a second retrocoecal vermiform appendix was surprisingly found. Because of signs of a chronic appendicitis a second resection was performed. Although the diagnosis of an appendix duplex is a rarity, surgeons should be aware of the possibility, especially when clinical signs and symptoms point to appendicitis, although at laparotomy the appendix looks normal. A routine exploration for a second appendix is definitely not indicated because of the rarity and the increased complication rate.

Original languageGerman
Pages (from-to)492-494
Number of pages3
JournalWiener Klinische Wochenschrift
Volume117
Issue number13-14
DOIs
Publication statusPublished - Jul 1 2005

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Keywords

  • Appendix
  • Classification
  • Double
  • Duplex
  • Duplication
  • Vermiform appendix

ASJC Scopus subject areas

  • Medicine(all)

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