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Appendiceal Agenesis: A Very Rare Intraoperative Diagnosis – A Case Report

Authors Yohannes B, Abebe K

Received 2 March 2021

Accepted for publication 20 March 2021

Published 9 April 2021 Volume 2021:14 Pages 233—236


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas

Binyam Yohannes, Kirubel Abebe

Department of Surgery, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Correspondence: Kirubel Abebe
Department of Surgery, St. Paul’s Hospital Millennium Medical College, P.O. Box 1271, Addis Ababa, Ethiopia
Tel +251 921143772
Email [email protected]

Background: Appendiceal agenesis is a rare intraoperative diagnosis which occurs in 0.001% of laparotomies done for presumed acute appendicitis. To our knowledge, this is the first report of appendiceal agenesis in our country and the second in Africa.
Case Presentation: A 19 year old Ethiopian female student came with clinical and imaging findings of acute appendicitis. No history of previous abdominal surgery and similar illness. The vermiform appendix could not be identified following laparotomy performed for the assumption of acute appendicitis. The surgical exploration also revealed no cause for the abdominal pain. Then appendiceal agenesis was declared with an additional diagnosis of nonspecific abdominal pain (NSAD). The postoperative follow-up was uneventful.
Conclusion: Appendiceal agenesis is a rare malformation which demands a careful examination and meticulous laparotomic/laparoscopic exploration for diagnosis.

Keywords: appendiceal agenesis, appendiceal anomalies, acute appendicitis, Ethiopia

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