{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:05Z","timestamp":1753877225756,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute appendicitis is the most common cause of lower abdominal pain among patients presented to the Emergency Department. Appendicular anomalies in general are rare, and the horseshoe appendix is considered the rarest, with few reported cases in the literature. We are presenting a young female patient, medically and surgically free, who presented to the Emergency Department with persistent right lower quadrant, associated with vomiting for 2\u00a0days. Vitally was stable, and labs were remarkable for leukocytosis and neutrophil shift. Abdomen CT scan showed a dilated appendix up to 1\u00a0cm with mural edema and hyperenhancement surrounded by mild fat stranding, minimal free fluid, and thickened adjacent peritoneal reflection. In conclusion, routinely performed surgeries can surprise the surgeon with unusual findings. Knowing the anatomy and possible associated anomalies is a cornerstone for any surgery. Even with the rarity of these anomalies, a high index of suspicion and careful recognition are required.<\/jats:p>","DOI":"10.1093\/jscr\/rjae769","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T23:42:43Z","timestamp":1733874163000},"source":"Crossref","is-referenced-by-count":0,"title":["Rare appendicular anomaly of horseshoe appendix diagnosed intra-operatively during laparoscopic appendectomy: case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"Ahmed","family":"Almalki","sequence":"first","affiliation":[{"name":"Department of General Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs , Ar Rimayah, Riyadh 14611 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5306-6116","authenticated-orcid":false,"given":"Ahad","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs , Ar Rimayah, Riyadh 14611 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heythem","family":"Alzamel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs , Ar Rimayah, Riyadh 14611 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saud","family":"Albuthi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, McGill University , 1650 Cedar Ave, Montr\u00e9al ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"2024121023413288200_ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00306-3","article-title":"Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem 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