Year: 2026 | Month: August | Volume: 13 | Issue: 8 | Pages: 97-99
DOI: https://doi.org/10.52403/ijrr.20260809
Partner in Crime: A Rare Case of Duplicated Appendix Presenting as Acute Appendicitis
Chinta Hari Charan1, Harindranath H.R.2
1Postgraduate Resident, Department of Surgery, Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru, India
2Guide/Corresponding Author, Department of Surgery, Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru, India
Corresponding Author: Chinta Hari Charan
ABSTRACT
Duplication of the vermiform appendix is an exceedingly rare congenital anomaly, with an estimated incidence of 0.004–0.009% and fewer than 150 cases reported worldwide since it was first described by Picoli in 1892. Preoperative diagnosis is difficult, and the condition is usually identified incidentally at surgery. We report the case of a 24-year-old male who presented with classical features of acute appendicitis, in whom intraoperative exploration revealed two adherent tubular structures with separate bases, one of which showed a necrosed base. Appendicectomy was performed on both structures, and histopathology confirmed appendiceal duplication with acute appendicitis in one specimen and acute suppurative necrotizing appendicitis in the other. The patient recovered uneventfully. This case highlights the need for careful intraoperative exploration in cases of right iliac fossa pain, as a missed second appendix can result in recurrent or unresolved symptoms.
Keywords: duplicated appendix, appendiceal duplication, acute appendicitis, congenital anomaly, appendicectomy
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