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.