Appendix Duplication: a rare presentation

Öz

Apendiks duplikasyonu gastrointestinal traktın ender görülen konjenital anomalilerindendir. On dokuz yaşında erkek hasta delicikesici alet yaralanması nedeniyle laparotomi yapıldı , eksplorasyonda apendiks üzerinde omental yapışıklar mevcuttu, hastaya apendektomi yapıldı. Spesmenin histopatolojik incelemesinde apendiksin distal 4 cm lik kısmında tüm apendiks duvarını içeren luminal duplikasyon saptandı. Apendektomi hikayesi olan ve apendisit benzeri klinik şikayetlerle başvuran hastalarda AD mutlaka akılda tutulmalıdır

Anahtar Kelimeler

• Apendiks, duplikasyon, apendisit

Appendix Duplication: a rare presentation

Abstract

Appendiceal duplications are among the rare congenital anomalies of the gastrointestinal tract. Laparotomy was applied to a nineteen-year-old male patient due to an injury caused by a piercing-cutting tool, during operation exploration, omental adhesions were present on the appendix and appendectomy was performed to the patient. The histopathological examination of the specimen showed that there was luminal duplication all over the appendiceal wall at the distal 4 cm. portion of the appendix. Appendiceal duplication should definitely be kept in mind in patients with a history of appendectomy and clinical complaints compatible of appendicitis.

Keywords

• Appendix, duplication, appendicitis

References

1. Collins DC. A study of 50,000 specimens of the human ver- miform appendix. Surg Gynecol Obstet 1955;101:437–45.
2. Kjossev KT, Losanoff JE. Duplicated vermiform appendix. Br J Surg 1996;83:1259.
3. Macpherson RI. Gastrointestinal tract duplications: clini- cal, pathologic, etiologic, and radiologic considerations. Radiographics 1993;13:1063–80.
4. Cave AJ. Appendix vermiformis duplex. J Anat 1936;70:283–92.
5. Wallbridge PH. Double appendix. Br J Surg 1962;50:346–7.
6. Eroglu E, Erdogan E, Gundogdu G, Dervisoglu S, Yeker D. Duplication of appendix vermiformis: a case in a child. Tech Coloproctol 2002;6:55-7.
7. Yanar H, Ertekin C, Unal ES, Taviloglu K, Guloglu R, Mete O. The case of acute appendicitis and and appendiceal duplication. Acta Chirugica Belgica 2004;104:736-8.
8. Bluett MK, Halter SA, Salhany KE, O'Leary JP. Duplication of the appendix mimicking adenocarcinoma of the colon. Arch Surg 1987;122:817–20.

9. Harman J, Schroeder D. Double appendix. N Z Med J 1986;99:469. 52