{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:06:22Z","timestamp":1773180382968,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Anomalies of the appendix have been reported mostly in adults as an incidental finding during surgery. The incidence of duplication of the vermiform appendix is reported to be 0.004% and &amp;lt;10 cases of appendicitis have been reported in duplicated appendix. This is a case report of an 18-year-old male who was diagnosed to have perforated appendicitis by imaging, and on open surgical exploration was found to have appendiceal duplication. Histopathological examination of both specimens revealed a perforated necrotic first appendix and an acutely inflamed second appendix. Surgeons must always bear in mind a high degree of suspicion regarding the possibility of duplicated appendices in all cases that are clinically and radiologically suspected to have acute appendicitis or perforated appendicitis. A thorough intraoperative examination of caecum is mandatory to avoid missing the duplication; thus, preventing post-operative complications and medicolegal issues.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa133","type":"journal-article","created":{"date-parts":[[2020,7,12]],"date-time":"2020-07-12T19:06:45Z","timestamp":1594580805000},"source":"Crossref","is-referenced-by-count":8,"title":["A rare case of duplicated appendix presenting as perforated appendicitis"],"prefix":"10.1093","volume":"2020","author":[{"given":"Ashwin","family":"Raja A","sequence":"first","affiliation":[{"name":"Senior Resident, Department of General Surgery, SRM Medical College, Hospital and Research Centre, Chennai, Kancheepuram District, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamilarasy","family":"Vasanthakumaran","sequence":"first","affiliation":[{"name":"Junior Resident, SRM Medical College, Hospital and Research Centre, Chennai, Kancheepuram District, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,14]]},"reference":[{"key":"2020071609523716300_ref1","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s12262-015-1372-y","article-title":"Duplication of vermiform appendix","volume":"78","author":"Bhat","year":"2016","journal-title":"Indian J Surg"},{"key":"2020071609523716300_ref2","doi-asserted-by":"crossref","first-page":"662","DOI":"10.9738\/INTSURG-D-14-00150.1","article-title":"Duplicate appendix with acute ruptured appendicitis: a case report","volume":"100","author":"Nazir","year":"2015","journal-title":"Int Surg"},{"key":"2020071609523716300_ref3","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.jcol.2019.04.003","article-title":"Congenital abnormalities and anatomical variations of the vermiform appendix and mesoappendix","volume":"39","author":"Vieira","year":"2019","journal-title":"J Coloproctol (Rio J)"},{"key":"2020071609523716300_ref4","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1007\/s12262-013-1014-1","article-title":"Double appendix","volume":"77","author":"Dubhashi","year":"2015","journal-title":"Indian J Surg"},{"key":"2020071609523716300_ref5","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jcol.2015.08.003","article-title":"Vermiform appendix: positions and length \u2013 a study of 377 cases and literature review","volume":"35","author":"Souza","year":"2015","journal-title":"J Coloproctol"},{"key":"2020071609523716300_ref6","first-page":"71","article-title":"Imaging for suspected appendicitis","volume":"71","author":"Old","year":"2005","journal-title":"Am Fam Physician"},{"key":"2020071609523716300_ref7","first-page":"1123","article-title":"Duplication of the vermiformis appendix","volume":"40","author":"Maizels","year":"1966","journal-title":"S Afr Med J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/7\/rjaa133\/33492613\/rjaa133.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/7\/rjaa133\/33492613\/rjaa133.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T16:16:25Z","timestamp":1594916185000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa133\/5859093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,1]]},"references-count":7,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa133","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,7]]},"published":{"date-parts":[[2020,7,1]]},"article-number":"rjaa133"}}