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Case Reports
. 2015 Jun 19;32(2):134-6.
doi: 10.5152/UCD.2015.2857. eCollection 2016.

Perforated double appendicitis: Horseshoe type

Serap Pamak Bulut  1 , Neslihan Cabıoğlu  2 , Muzaffer Akıncı  1
Affiliations
Case Reports

Perforated double appendicitis: Horseshoe type

Serap Pamak Bulut et al. Ulus Cerrahi Derg. .

Abstract

Appendix vermiformis duplex is an infrequent malformation. However if it is missed out, there might be some complications and medicolegal troubles. A surgeon must be aware of any other appendix during appendectomy. Therefore, the possible locations and shapes described in the Cave-Wallbridge classification should be considered by the surgeon. In this case report, we present a patient with a horseshoe-type dupplication of appendix in a perforated appendicitis diagnosed during an emergency laparotomy.

Keywords: Appendix vermiformis duplex; appendiceal duplication; double appendicitis; double appendix; perforated appendicitis.

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Figures

Figure 1.
Figure 1.
Intraoperative view of perforated horseshoe appendicitis
Figure 2.
Figure 2.
Modified Cave-Wallbridge classification; Type A: Partial dupplication of appendix. Type B1: (Bird type) Two appendices are symmetrically placed on either side of the ileocecal valve. Type B2: (taenia coli-type) One appendix is at the usual site and the other one is far away along the lines of taenia. Type C: Dupplication of both cecum and appendix. Type D: (Horseshoe type) One appendix has two openings into the cecum
See this image and copyright information in PMC

References

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