ABSTRACT

Duplex appendicitis is very rare (incidence 0.004%). Appendix duplication should be considered in the differential diagnosis of lower abdominal pain even if the patient has had previous appendectomy surgery. Surgeons should be aware of the potential anatomical variations of the vermiform appendix, and the retrocecal space should be carefully examined during laparotomy or laparoscopic exploration. Missing appendix duplication can lead to treatment failure and medico-legal consequences. This is a case report of a 32-year-old female patient who was diagnosed appendicitis, and on open surgical exploration was found to have appendiceal duplication.