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  Authors

Dr. Yogesh D. Narkhede,Dr. Sagar P. Patil,Dr. Govind D. Gutte

  Keywords

Agenesis of appendix, Appendicitis, Torsion of ovary, Caecal diverticulum, Appendiceal anomaly, rare case report

  Abstract


Agenesis of vermiform is a exceptionally rare congenital anomaly, most often identified incidentally during surgical exploration for suspected acute appendicitis. Its clinical significance lies in its ability to closely mimic acute appendicitis, frequently leading to diagnostic and intraoperative dilemmas. This case report discusses a 29 year old female who presented with acute onset abdominal pain and vomiting for last 24 hours, clinical examination revealed severe colicky pain localized to right iliac region suggestive of acute appendicitis. Ultrasound of the same day reported a mildly inflamed appendix with diameter 6.6 mm, enlarged surrounding lymph nodes and no abnormality related to adnexa, reinforcing the provisional diagnosis. Intraoperatively, the appendix was not found at the converge of taenia coli. Further exploration of right adnexa reveled a ruptured, twisted, hemorrhagic ovarian cyst on the right side, for which right oophorectomy was performed. Postoperative management included broad spectrum antibiotics, aseptic wound care and radiological follow ups, leading to significant clinical improvement. The absence of the appendix obliges the surgeon to actively search for alternative causes of right iliac fossa pain, particularly gynecological conditions in females of reproductive age. Unnecessary caecal dissection may increase operative time and risk of complications such as serosal injury or postoperative ileus. When appendicular agenesis is confirmed and the underlying pathology is appropriately addressed, the prognosis is excellent, with no long-term adverse outcomes related to the anomaly itself. Awareness of this rare entity, combined with a systematic intraoperative approach and judicious decision-making, is crucial to prevent avoidable morbidity and to ensure optimal surgical management in patients presenting with a clinical picture suggestive of acute appendicitis.

  IJCRT's Publication Details

  Unique Identification Number - IJCRT2601051

  Paper ID - 299833

  Author type - Indian Author

  Page Number(s) - a395-a403

  Pubished in - Volume 14 | Issue 1 | January 2026

  DOI (Digital Object Identifier) -   

  No Of Downloads - 11

  Author Country - India, 411028, Pune, Pune, 411028, Humanities All

  Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882

  E-ISSN Number - 2320-2882

  Published Paper PDF : - http://www.ijcrt.org/papers/IJCRT2601051

  Published Paper URL: : - http://ijcrt.org/viewfull.php?&p_id=IJCRT2601051

  Published Paper PDF Downlaod: - download.php?file=IJCRT2601051

  Cite this article

Dr. Yogesh D. Narkhede,Dr. Sagar P. Patil,Dr. Govind D. Gutte,   "AGENESIS OF APPENDIX : A RARE CASE REPORT", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.14, Issue 1, pp.a395-a403, January 2026, Available at :http://www.ijcrt.org/papers/IJCRT2601051.pdf

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