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  • Title: [Acute appendicitis in a boy with an earlier appendectomy and a second appendix].
    Author: Geurts BA, van Rijn AB, Koelma IA.
    Journal: Ned Tijdschr Geneeskd; 2006 Dec 30; 150(52):2876-9. PubMed ID: 17319221.
    Abstract:
    A 17-year-old boy who had already undergone appendectomy, presented with a one-day history of severe pain in his right lower abdomen. Physical examination and other investigations indicated acute appendicitis. On exploratory laparotomy, a second, inflamed appendix was found. Appendectomy was carried out, and the patient made a good recovery. Pathological examination of the organs removed at each operation confirmed that during both procedures an intact and clearly inflamed appendix had been removed. A double appendix is a rare clinical entity and may be associated with other congenital abnormalities. Doctors should be aware of the possibility of appendiceal duplication to avoid delay in diagnosis and treatment.
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