{
  "abstract": "Acute appendicitis is one of the most common emergency general surgery presentations. However, a duplicate appendix is very rare, in an incidence of 0.004%–0.009% and is challenging to diagnose. It is often diagnosed intraoperatively during laparoscopy or more commonly in laparotomy. A duplicate appendix causing appendicitis can lead to a more complicated presentation, such as perforation. We present a case of a man in his late 70s, who presented with complicated acute appendicitis due to the presence of a double appendix. Both appendices were inflamed, with one having perforated with the presence of a faecolith, leading to an abscess cavity in the right iliac fossa. This case adds to the body of literature on duplicate appendix and emphasises the importance of identifying this anatomical anomaly.",
  "authors": [
    {
      "affiliations": [
        "Department of Surgery, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK"
      ],
      "name": "Mohammad Kasim"
    },
    {
      "affiliations": [
        "Department of General Surgery, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK"
      ],
      "name": "Byung Choi"
    },
    {
      "affiliations": [
        "Department of Surgery, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK"
      ],
      "name": "Dixa Thakrar"
    },
    {
      "affiliations": [
        "Department of Surgery, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK"
      ],
      "name": "Tyler Longbone"
    },
    {
      "affiliations": [
        "Department of Surgery, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK"
      ],
      "name": "Sreelakshmi Mallappa"
    }
  ],
  "title": "Acute appendicitis complicated by a rare double appendix: a rare anatomical anomaly",
  "uid": "3d9f80a6-f4d2-5eb3-b9a8-e7b965e4318f"
}