PMC7475232_01
Imperforate Anus.
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Physical examination revealed an abdominal distension and an imperforate anus. (Fig. 1) The patient was noted to be passing meconium stained urine however the appearance of the external male genitalia was normal.
Left sided liver and Gall Bladder.
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At laparotomy, the neonate was noted to have transposed terminal ileum on the left side, with the gallbladder and the bulk of the liver also on the patient's left (Fig. 2).
Complete duplication of appendix on single caecum.
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There was a single mobile caecum associated with two appendices originating from a common base at the normal site (Fig. 3).
Chest X-ray showing dextrocardia.
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Radiographs (Fig. 4) and echocardiography confirmed a dextrocardia with an atrioseptal defect of 3.5 mm, affirming a diagnosis of situs inversus totalis, also noted were some vertebral anomalies.
Proposed change to type A Cave-Wallbridge appendix duplication.
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Both appendices shared an appendicular artery arising from the ileocolic artery (see illustration in Fig. 5A2).