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Ghali MS, Saleem N, Khalaf MH, Alkubaisi IK, Ali AHJ, Al Obahi M, Al-Zoubi RM. Congenital absence of appendix: a rare condition that could result in severe complications-a review of literature. J Surg Case Rep 2023; 2023:rjad661. [PMID: 38111487 PMCID: PMC10725790 DOI: 10.1093/jscr/rjad661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 11/18/2023] [Indexed: 12/20/2023] Open
Abstract
Acute appendicitis is the most frequent cause of abdominal pain and acute emergency surgeries, with a mortality risk of 6-7% at its onset. Since atypical deviations in these structures are rare, they can lead to diagnosis confusion and increase the risk of a worsening of the patient's clinical picture. We present the case of a 35-year-old patient who had surgery after being diagnosed with acute appendicitis. Based on clinical assessment (Alvarado score 8), appendix agenesis was discovered intraoperatively and confirmed by postoperative pathology. Excess dissection while looking for the appendix caused an intraoperative complication of cecal damage, which was treated with a right hemicolectomy. Until now, just a few cases have been described in the literature. We record this case owing to its rarity and with the goal of further understanding the illness, which will lead to improved surgical results in similar patients.
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Affiliation(s)
- Mohamed S Ghali
- Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
- Department of General Surgery, Ain Shams University, 11566, Cairo, Egypt
| | - Nitasha Saleem
- Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
| | - Mohamed H Khalaf
- Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
| | - Ismail K Alkubaisi
- Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
| | - Abdul H J Ali
- Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
| | - Mohammed Al Obahi
- Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
- College of Medicine, Qatar University, P. O. Box 2713, Doha, Qatar
| | - Raed M Al-Zoubi
- Surgical Research Section, Department of Surgery, Hamad Medical Corporation, P. O. Box 3050, Doha, Qatar
- Department of Biomedical Sciences, QU-Health, College of Health Sciences, Qatar University, P. O. Box 2713, Doha, Qatar
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