Résumé
Background: appendiceal duplication is one of the rare appendiceal anomalies with an incidence between 0.004% and 0.009% appendectomy specimens. Herein we present a 34 year old woman with appendiceal duplication, which caused in acute abdomen
Case presentation: a 34-year-old woman was admitted on an emergency basiswith a 10-day abdominal pain, loss of appetite,nausea, and.There was localized tenderness at McBurney'spoint, moderate rebound tenderness, guardingThe blood count showed leukocytosis [WBC :16800/mm3] with a shift to the left.Appendectomy was done and patient discharge after 3 days. Because fecal fistula and limited response to conservative management right hemicolectomy was done and pathology report a second appendix in iliocecal junction
Conclusion: in conclusion, appendiceal duplications are a rare finding. They may be confused with cecal diverticular disease or even colorectal cancer. The classification system of these abnormalities is important as a missed Type B appendix may result in serious clinical and medico-legal consequences. In addition, a double appendix can be associated with other congenital abnormalities. It is therefore important that trainee surgeons are aware of the anatomical anomalies and malpositions of the appendix