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J Clin Pathol. 2007 May; 60(5): 584.
PMCID: PMC1994555

Lengthy appendices

It is an established fact that the appendix is attached to the caecum; however, it is a rare occurrence that the appendix matches the caecum and ascending colon in length. The most recent edition of the Guinness Book of Records cites the longest appendix to have been removed as measuring 23.5 cm in length1; the previous record was 21 cm.2 It may be assumed that both these aforementioned appendices were acutely inflamed. I present a case that rivals these two appendices in length. I think that the appendix in this case presented which measured at least 22 cm may be one of the longest appendices encountered, at least in recent times. It was an incidental finding at autopsy in an 80‐year‐old who died of unrelated causes (fig 11).). However, the claims to fame of these three appendices may be both premature and late. Kelly and Hurdon, in their mammoth work The vermiform appendix and its diseases published in 1905, cite the case of an appendix measuring 33 cm in length, presented by F Grauer to the North‐Western Medical and Surgical Society in 1890.3

figure cp41418.f1
Figure 1 One of the longest normal appendices incidentally encountered at autopsy.


1. Guiness World Records Limited 2005
2. Record for man's appendix BBC News. (accessed 13 Mar 2007)
3. Kelly HA, Hurdon E, eds. The vermiform appendix and its diseases. Philadelphia: W B Saunders and Company, 1905. 136

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