Yohannes Binyam, Abebe Kirubel
Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Int Med Case Rep J. 2021 Apr 9;14:233-236. doi: 10.2147/IMCRJ.S309192. eCollection 2021.
Appendiceal agenesis is a rare intraoperative diagnosis which occurs in 0.001% of laparotomies done for presumed acute appendicitis. To our knowledge, this is the first report of appendiceal agenesis in our country and the second in Africa.
A 19 year old Ethiopian female student came with clinical and imaging findings of acute appendicitis. No history of previous abdominal surgery and similar illness. The vermiform appendix could not be identified following laparotomy performed for the assumption of acute appendicitis. The surgical exploration also revealed no cause for the abdominal pain. Then appendiceal agenesis was declared with an additional diagnosis of nonspecific abdominal pain (NSAD). The postoperative follow-up was uneventful.
Appendiceal agenesis is a rare malformation which demands a careful examination and meticulous laparotomic/laparoscopic exploration for diagnosis.
阑尾缺如是一种罕见的术中诊断，在因疑似急性阑尾炎而进行的剖腹手术中发生率为0.001%。据我们所知，这是我国首例阑尾缺如报告，也是非洲第二例。
一名19岁的埃塞俄比亚女学生因急性阑尾炎的临床和影像学表现前来就诊。既往无腹部手术史及类似疾病史。因假定为急性阑尾炎而进行剖腹手术后未发现阑尾。手术探查也未发现腹痛原因。随后诊断为阑尾缺如，并附加非特异性腹痛（NSAD）诊断。术后随访情况良好。
阑尾缺如是一种罕见的畸形，诊断时需要仔细检查并进行细致的剖腹/腹腔镜探查。
