World Journal of Medical and Surgical Case Reports Volume No 7

Case Report Open Access

Perforated Duplex Vermiform Appendix: A Rare Emergency

Satyendra Kumar Tiwary, Shivanshu Singh, Puneet Kumar and Ajay K Khanna
World Journal of Medical and Surgical Case Reports 2016, 5:2


Duplex appendix is a rare congenital problem which may remain asymptomatic but sometimes presents as acute abdomen. Peroperative identification of both the appendices is essential, otherwise the unattended appendix may lead to serious life threatening and medico legal consequences in the future. We report a case of 26 years male who presented to the emergency with acute pain abdomen for 10 days and high grade fever. On exploration, two inflamed vermiform appendices were identified, one of them having perforation and both were attached to a single caecum. Appendicectomy of both the appendices was done. Postoperative period remained uneventful.


Duplex appendix,Appendicitis, Laparotomy, Acute abdomen

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