DOI: 10.36347/sjmcr.2018.v06i10.006

Pages: 751-753

Since 1892, after the first report of the first case of appendicitis duplication, fewer than 100 cases have been reported worldwide with an incidence reported at 0.004. The first classification of appendicular duplications was developed in 1936 by Cave and then modified in 1962 by Walbridge. Since then, a number of authors have made some modifications, which has led to the classification by Cave-Walbridge, which is now the most used and offers three types: Type A corresponds to a complete or partial duplication of which only the base is common, Type B is the most common (60%) and has two subgroups; type B1 where the two appendages are symmetrically arranged with respect to the Bauhin valve; Type B2 where the appendix is in the usual laterocecal position and the second hypoplastic located on a colic strip at a distance from the first, Type C corresponds to a caecal duplication where each cecum carries a proper appendage. It is a condition that occurs most often in the first years of life and its discovery is often fortuitous on the occasion of a laparotomy or laparoscopy for another pathology as the case of our patient who presented in an occlusion chart and in whom surgical exploration found a Caecoappendicular type C duplication and this is the rarest type in appendicular duplications. However, before any abdominal surgery, the surgeon must therefore examine the cecum so as not to miss a caecoappendicular duplication because it is a rare pathology certainly, but it can cause many problems if it is not diagnosed at the time of surgery.