An Anomaly to Remember: Duplication of Appendix with Perforated Appendix

Appendiceal anomalies are extremely rare malformations that are usually found in the adult population as an incidental finding during laparotomy performed for other reasons. Presented herein is a case of perforated double appendix, which caused peritonitis in a female of child bearing age, without any co-existing pathology. Post operatively she developed pelvic collection. She was operated again, and found another appendix. Appendicectomy was done, and she had smooth recovery after the second surgery.