DOI: 10.36347/sjmcr.2021.v09i05.035

Pages: 591-593

Introduction: Appendix duplication is an extremely rare congenital anomaly that is seen in 0.004% to 0.009% of appendectomy specimens. Even though the abnormality is rare, it is essential to make the diagnosis. Cases report: the first atient is a child of 07 years- old admitted for acute abdomen, The diagnosis of acute generalized peritonitis was retained with clinical and ultrasound arguments, a midline laparotomy showed 2 appendices in different position. The second was 14years old boy, presented to our department with appendicular syndrom, Mac Burney incision found duplicated appendix. Discussion: Preoperative diagnosis of a duplicated appendix is not easy at all for the surgeons and radiologists. Awareness of the Cave-Wallbridge classification system may assist surgeons in diagnosing appendiceal duplication, especially the type B duplication which presents the largest risk of misdiagnosis and may result in serious adverse patient outcomes and medicolegal consequences. Conclusion: Appendiceal duplication although rare and difficult to diagnose preoperatively, should be checked while operating for appendicular pathology in order to avoid serious clinical and medicolegal implication.