Case Report of a Mega Appendix

Abstract

Surgeons maintain continuous interest about the appendix due to its multiple presentation types and potential pathologies and functional aspects. The acute appendicitis condition represents one of the main reasons for sudden abdominal pain. Open appendectomy remains the preferred treatment and is a commonly performed emergency surgery, especially among trainees. The appearance of the appendix during surgery can be misleading, even for experienced surgeons. The standard surgical practice takes each appendicitis situation as an individual expulsion that requires specific treatment. Each person possesses an appendix of different sizes which generally measure between 6–9 cm in length with 7–8 mm in diameter. Previously, the longest appendix recorded in India was 17.5 cm, and the global record was a perforated appendix measuring 55 cm. This report highlights a rare case of non perforated inflamed appendix measuring 9.8 cm in length and 5.5 cm in diameter at its widest point,which appeared as a sealed off perforated appendicular mass on USG AND CECT ,was removed .Highlighting the fact that diagnosing acute appendicitis remains clinically challenging despite medical advances.