A four and half-year-old male child was admitted with 4 days history of pain in the lower abdomen associated with vomiting and fever for 2 days. On examination the child was febrile and tenderness felt at the right iliac fossa. The Total Leukocyte Count was raised-15,600cumm. Diagnosis of acute appendicitis was made provisionally and supported by ultrasound finding of the abdomen which showed the appendix measuring 14mm in diameter with adhesions. The child was managed with non operative measures and underwent interval appendectomy 4 months later. A Grid iron incision was made on the right iliac fossa and the cecum was identified. The taenia coli were traced down to its confluence and the base was identified. Attempt was made to release the tip but found out that it was communicating with the cecum by another stump. The two "bases" or "stumps" were positioned frontally on the cecum with a central mesoappendix [Table/ Fig-1,2]. Appendectomy was completed [Table/ Fig-3]. The postoperative recovery was uneventful and the patient was discharged on the 3 rd postoperative day.
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