Appendicitis with Appendicular Atresia: A rare presentation

Irfan Masood, Zain Majid, Ali Rafiq, Saba Fatima, Osama Bin Zia Siddiqui

Research output: Contribution to journalArticlepeer-review

Abstract

Acute appendicitis is the most common acute surgical condition; making appendectomy the most commonly performed emergency surgical procedure in the world. Anomalies of the appendix are relatively uncommon. However, their presence may alter the course of pre-operative diagnosis and the surgical treatment provided, leading to medico-legal issues in certain cases as well. We hereby present the case of a 17 year-old female who had the suggestive signs, symptoms and investigations of appendicular lump. She was managed according to the Ochsner-Sherren regimen and then underwent interval open appendectomy 6 weeks later. During the procedure, the findings of a 5 cm long appendix were noted. The base of the appendix was attached to the caecum, however there was complete mucosal discontinuity between the base and the remaining portion of the appendix. A fibrous strand connected the two blind ending parts together. After thorough literature search, the authors concluded that this is only the fourth reported case of appendicular atresia ever to have been reported. Considering the rarity of this finding we feel this could be of valuable interest to surgeons and readers alike.

Original languageEnglish (US)
JournalPan African Medical Journal
Volume20
DOIs
StatePublished - Jan 22 2015
Externally publishedYes

Keywords

  • Appendectomy
  • Appendicitis
  • Appendicular atresia

ASJC Scopus subject areas

  • Medicine(all)

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