Double acute appendicitis in appendical duplication

Duplication of the vermiform appendix is a rare congenital abnormality and usually found incidentally during laparotomy. Modified Cave and Wallbridge classification is used to describe the locations of both appendixes according to each other and the cecum and also indicates the extent of the duplication. We report a 45-year-old patient who underwent laparotomy for acute abdominal pain. The operative finding was double acute appendicitis in appendical duplication. The appendixes were separately removed as it was Type B duplication. Since appendectomy is the most common abdominal operation, all surgeons should keep this rare clinical entity in mind.

Apendiks Duplikasyonunda çift akut apandisit

Appendiks vemiformis duplikasyonu nadir bir konjenital anomalidir ve genellikle laparotomi esnasýnda tesadüfen saptanýr. Apendikslerin birinin diðerine ve çekuma göre lokalizasyonunu tanýmlamada ve ayný zamanda duplikasyonun boyutunu göstermede modifiye Cave ve Wallbridge sýnýflamasý kullanýlýr. Bizler, akut karýn aðrýsý nedeniyle laparotomi uygulanan 45 yaþýnda bir hastayý bildirdik. Operasyon bulgularý, apendiks duplikasyonu ile birlikte çift akut apandisit þeklinde idi. Tip B duplikasyon olmasý nedeniyle apendiksler ayrý ayrý alýndý. Apendektomi en sýk uygulanan abdominal cerrahi olmasý nedeniyle tüm cerrahlar bu nadir klinik antiteyi akýlda tutmalýdýrlar.