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Tubular doubling of the caecum dome with two phlegmonously altered appendixes in a child

https://doi.org/10.24884/0042-4625-2024-183-2-64-67

Abstract

Anomalies of the appendix are rare malformations that are most often diagnosed intraoperatively and do not have a specific clinical picture. The article describes a clinical case in a 6-year-old 4-month-old boy who was admitted to the hospital with symptoms of appendicitis. According to urgent indications, diagnostic laparoscopy was performed, during which two phlegmonously altered appendixes were identified. The diagnosis was « Acute phlegmonous appendicitis of two appendixes. Loose periappendicular infiltrate. Congenital developmental pathology: Tubular doubling of the caecum dome with appendixes ». Laparoscopic appendectomy was performed. Thus, this article describes the rare clinical case of tubular doubling of the caecum dome with phlegmonously altered appendixes.

About the Authors

N. A. Okunev
Ogarev Mordovia State University
Russian Federation

Okunev Nicolay A., Dr. of Sci. (Med.), Professor of the Department of Faculty Surgery with Courses of Topographic Anatomy and Operative Surgery, Urology and Pediatric Surgery, Medical Institute

68, Bolshevistskaya str., Saransk, 430005; Saransk


Competing Interests:

The authors declare no conflict of interest



A. I. Okuneva
Ogarev Mordovia State University; Children’s Republican Clinical Hospital
Russian Federation

Okuneva Alexandra I., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery with Courses of Topographic Anatomy and Operative Surgery, Urology and Pediatric Surgery, Medical Institute; Pediatric Surgeon

68, Bolshevistskaya str., Saransk, 430005; Saransk


Competing Interests:

The authors declare no conflict of interest



N. A. Kalabkin
Children’s Republican Clinical Hospital
Russian Federation

Kalabkin Nicolay A., Pediatric Surgeon

Saransk


Competing Interests:

The authors declare no conflict of interest



Ju. N. Shabunina
Ogarev Mordovia State University
Russian Federation

Shabunina Julia N., 6th year Student of the Specialty «Pediatrics» of the Medical Institute

68, Bolshevistskaya str., Saransk, 430005


Competing Interests:

The authors declare no conflict of interest



References

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2. Gupta R., Kumar A., Agrawal L. et al. Gastrointestinal Duplications: A Decade’s Experience. J Indian Assoc Pediatr Surg. 2023;28(2):128- 136. DOI: 10.4103/jiaps.jiaps_108_22.

3. Habib M., Burki S. A., Chaudhary M. A. A case of double appendix and cecum in an infant – case report. J Surg Case Rep. 2022;2022(4):rjac125. DOI: 10.1093/jscr/rjac125.

4. Olarinoye-Alegbejo M. I., Steve K., Ologun G. O. Incidental finding of double appendix during laparotomy for intussusception: A case report. Int J Surg Case Rep. 2020;75:219‒221. DOI: 10.1016/j.ijscr.2020.09.043.

5. Rathore V. K., Raveendran K. M., Sadhasivan L. et al. An unusual tale of two appendices in a case of acute appendicitis: one gangrenous, one inflamed. Cureus. 2022;14(7):e27263. DOI: 10.7759/cureus.27263.

6. Dhar P. P., Mohanty U. A rare case report of infant ileal atresia with double appendix. Int J Surg Case Rep. 2020;74:226‒229. DOI: 10.1016/j.ijscr.2020.08.023.


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For citations:


Okunev N.A., Okuneva A.I., Kalabkin N.A., Shabunina J.N. Tubular doubling of the caecum dome with two phlegmonously altered appendixes in a child. Grekov's Bulletin of Surgery. 2024;183(2):64-67. (In Russ.) https://doi.org/10.24884/0042-4625-2024-183-2-64-67

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)