Caso inusual de duplicación apendicular complicado con apendicitis / Unusual case of duplicate appendix complicated by appendicitis

RESUMEN

La apendicitis aguda es la causa más común de abdomen agudo quirúrgico, con pocas anomalías congénitas descritas durante las intervenciones quirúrgicas, entre ellas, la duplicación apendicular y, menos común, la inflamación simultánea de ambas vísceras demostradas por estudios histopatológicos. Se presenta el caso de un hombre de 72 años de edad con un cuadro de apendicitis aguda intervenido quirúrgicamente, en quien se hallaron dos apéndices cecales inflamados durante el mismo acto quirúrgico. Se intervienen quirúrgicamente pocos casos de duplicación apendicular y menos aún de apendicitis simultánea, entidad importante para la literatura médica nacional e internacional como caso inusual y como sospecha diagnóstica durante la intervención quirúrgica.

ABSTRACT

Background: Acute appendicitis is the most common cause of acute abdomen, with few congenital anomalies having been described during surgical intervention, including duplicated vermiform appendix. Less common is the simultaneous inflammation of both appendices as demonstrated by pathological studies. Case report A 72 year old male with acute appendicitis underwent surgery, and two vermiform appendices with evidence of acute inflammation in both of them were encountered during the surgical procedure. Few cases of duplex vermiform appendix are encountered, and even les with simultaneous acute inflammation in both appendices. We consider this case of importance for both the national and international literature, as an unusual case diagnosed as suspected during surgical intervention.