Serap Pamak Bulut1, Neslihan Cabıoğlu2, Muzaffer Akıncı1

1Clinic of General Surgery, Haseki Training and Research Hospital, İstanbul, Turkey
2Department of General Surgery, İstanbul University İstanbul School of Medicine, İstanbul, Turkey


Appendix vermiformis duplex is an infrequent malformation. However if it is missed out, there might be some complications and medicolegal troubles. A surgeon must be aware of any other appendix during appendectomy. Therefore, the possible locations and shapes described in the Cave-Wallbridge classification should be considered by the surgeon. In this case report, we present a patient with a horseshoe-type dupplication of appendix in a perforated appendicitis diagnosed during an emergency laparotomy.

Keywords: Appendix vermiformis duplex, appendiceal duplication, perforated appendicitis, double appendicitis, double appendix


Peer Review

Externally peer-reviewed.

Author Contributions

Concept - N.C.; Design - S.P.B.; Supervision - M.A.; Data Collection and/or Processing - N.C., S.P.B.; Analysis and/or Interpretation - N.C., S.P.B.; Literature Review - S.P.B.; Writer - N.C., S.P.B.; Critical Review - M.A.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.