Abstract
Vermiform appendix is considered as a vestigial organ, and it has minimal or no role to play in the digestion and absorption of food. It is an enigma to the clinicians due to its variable positions and symptoms caused by its inflammation. In the available literature, there are many reports on various positions, size and disease of appendix. However, there is no report on an anteriorly located appendicular attachment to the caecum. During dissection classes for medical undergraduates, an appendix with its base attached to the anterior wall of the caecum was noted. The entire appendix was attached to the ileum through a mesoappendix and was readily visible when the anterior abdominal wall was reflected. This position could be a boon to the clinicians and radiologists during diagnosis and surgery of the appendix.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chauhan S, Anand S (2018) Intracecal appendix: an extremely rare anatomical variation. A case report and review of literature. Surg Radiol Anat 40:111–114
Ikidag MA (2019) Ectopic appendix vermiformis located in the right deep gluteal region due to unilateral piriformis agenesis. Surg Radiol Anat 41:141–142
Kaselas C, Spyridakis I, Patoulias D, Tsioulas P, Patoulias I (2016) Left sided appendicitis: once burned twice shy. J Clin Diagn Res 10:PD07-09
Nayak BS, Sirasanagandla SR, George BM, Mishra S, Pamidi N, Kumar V, Kumar N, Ravindra SS (2015) Lateral pouch appendix associated with retroperitoneal terminal part of the ileum: a potential diagnostic and surgical challenge. Anat Sci Int 90:324–326
Nayak SB, George BM, Mishra S, Surendran S, Shetty P, Shetty SD (2013) Sessile ileum, subhepatic cecum, and uncinate appendix that might lead to a diagnostic dilemma. Anat Cell Biol 46:296–298
Sadler TW (1990) Langman’s medical embryology, 7th edn. William and Wilkins, Baltimore, pp 260–262
Serter İ, Eroğlu E, Akbal E, Kesici U, Altınlı E (2018) Horseshoe appendix is an extremely rare cause of acute appendicitis. Am Surg 84:e490–e491
Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy JC, Johnson D, Mahadevan V, Newell RLM, Wigley CB (2008) Gray’s anatomy: the anatomical basis of clinical practice. In: Borley NR, Collins P, Healy JC, Wigley C, Brown JL (eds) Abdomen and pelvis. Elsevier, Churchill Livingstone, London, pp 1142–1143
Triki W, Itaimi A, Abbassi I, Baraket O, Bouchoucha S (2017) Appendiceal duplication: a new case. Tunis Med 95:304–306
Tripathy BB (2016) Congenital absence of appendix: a Surgeon’s dilemma during surgery for acute appendicitis. J Indian Assoc Pediatr Surg 21(4):199–201
Uriev L, Maslovsky I, Mnouskin Y, Ben-Dor D (2006) Triple-barreled type of appendiceal triplication. Ann Diagn Pathol 10(3):160–161
Funding
None.
Author information
Authors and Affiliations
Contributions
Dr. Satheesha B. Nayak dissected the cadaver, and drafted the manuscript. Dr. K.V. Soumya prepared the photographs, did the review of literature and proof reading of the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The author(s) declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Nayak, S.B., Soumya, K.V. “Anterior appendix”: a boon for clinicians and radiologists. Surg Radiol Anat 41, 1387–1389 (2019). https://doi.org/10.1007/s00276-019-02268-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-019-02268-x