2 CASE REPORT
A 32-year-old male was brought to the Emergency Department of the Orotta Referral Hospital, Asmara, Eritrea, with complaints of central abdominal pain that was shifted to the right iliac fossa for one day. It was aggravated by movement and was associated with nausea and vomiting. Otherwise, he had clear systemic review and denyed any significant past medical history.
On physical examination, the pulse rate was 90/minute, the respiratory rate was 18/minute and temperature of 37 ° C. There was right iliac fossa tenderness and guarding. The white blood cell counts was normal with a left neutrophilic shift. The urine examination and renal function test were within the normal range. Preoperative imaging studies were not performed, and the diagnosis of acute appendicitis was made based on clinical evaluation.
An open appendectomy was performed in the same day of admission. A minimal seropurulent fluid collection was found in the right iliac fossa. There were two separate appendices attached to a single caecum in the taenia coli and joined by a single mesoappendix (Figure 2,A). Only one appendix was apparently inflamed. The mesoappendix was ligated, and both appendices were removed (Figure 2,B&C). The postoperative period passed uneventful, and the patient discharged in good general condition after 72 hours.