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A tale of two appendices – an unexpected finding

机译:两个附录的故事–意外发现

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Anomalies of the appendix are uncommon and are usually discovered incidentally during surgery for appendicitis. We present a rare case of appendiceal duplication, which can have serious consequences if overlooked during an operation. Following an initial admission for right iliac fossa pain which led to an uneventful laparoscopic appendicectomy, a 36 year old male was readmitted for increasing abdominal pain and distension. Subsequent surgical exploration revealed a second appendix, which was retrocaecal and gangrenous. Careful inspection of the caecal pole should always be performed during surgery to exclude appendiceal abnormalities such as appendiceal duplication. The Cave-Wallbridge classification exists to provide surgeons with a framework to classify appendiceal duplications.
机译:阑尾异常不常见,通常在阑尾炎手术期间偶然发现。我们介绍了一种罕见的阑尾重复病例,如果在手术过程中被忽视,可能会造成严重后果。最初因右窝疼痛入院,导致腹腔镜阑尾切除术顺利进行后,因腹痛和腹胀加重,重新入院,一名36岁男性。随后的手术探查发现第二个阑尾为盲肠和坏疽。手术期间应始终仔细检查盲肠极,以排除阑尾异常,例如阑尾重复。 Cave-Wallbridge分类的存在为外科医生提供了对阑尾重复进行分类的框架。

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