scholarly journals Intestinal malrotation with left sided acute appendicitis

2021 ◽  
Author(s):  
Ashish Bhattarai
2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Marie Burgard ◽  
Floryn Cherbanyk ◽  
François Pugin ◽  
Bernhard Egger

Symptomatic Meckel’s diverticulum is rare in adults. The most frequent complications are intestinal obstruction and diverticulitis. Diagnosis of Meckel’s diverticulitis can be challenging due to nonspecific clinical manifestation of pain in the right lower abdominal quadrant, mimicking acute appendicitis. If associated with congenital malformation, such as intestinal malrotation, the anomalous anatomy makes the diagnosis even more challenging. In such cases, radiological imaging is essential to guide further management. We present a case of Meckel’s diverticulitis in which physicians were initially misguided because of the atypical clinical presentation. Yet, anamnestic details directed to a potential underlying malformation, leading to supplementary radiological examination and the final diagnosis.


2013 ◽  
Vol 74 (12) ◽  
pp. 3359-3364
Author(s):  
Rie IMAIZUMI ◽  
Manabu AMIKI ◽  
Takako MATSUMOTO ◽  
Noriaki KAWANO ◽  
Taro KOIKE ◽  
...  

2014 ◽  
Vol 53 (14) ◽  
pp. 1511-1513 ◽  
Author(s):  
Tetsuo Sonomura ◽  
Takao Koyama ◽  
Seigo Ishii ◽  
Taizo Takeuchi ◽  
Hiroki Sanda ◽  
...  

1990 ◽  
Vol 20 (3) ◽  
pp. 346-350 ◽  
Author(s):  
Hiroaki Ueo ◽  
Masaaki Nagamatsu ◽  
Akira Nakamura ◽  
Ryuji Matsuura ◽  
Osami Hara

Author(s):  
Shigeru FUJISAK ◽  
Motoi TAKASHINA ◽  
Ryouichi TOMITA ◽  
Tadatoshi TAKAYAMA

2021 ◽  
Vol 10 (31) ◽  
pp. 2521-2524
Author(s):  
Bhimarao Bhimarao ◽  
Rashmi Mysore Nagaraju ◽  
Lingaraj B. Patil

Acute appendicitis is one of the most common causes of acute abdominal pain and the most common condition requiring emergency surgery. Intestinal malrotation is a relatively uncommon condition. Depending upon the location of the cecum and appendix, patients with acute appendicitis in intestinal malrotation present atypically with abdominal pain localized on the site of appendicitis. Due to atypical presentation of central abdominal pain, other differentials presenting in this region should be excluded and accurate diagnosis should be made. We present a patient who came with central abdominal pain with elevated markers of inflammation. Contrast enhanced CT of abdomen in this patient revealed ectopic appendicitis located in supraumbilical region with signs of incomplete rotation of the bowel. CT played a pivotal role in identifying the underlying rotational abnormality of bowel, in localizing the inflamed appendix, identifying complications (perforation) and excluding other possible intra-abdominal pathologies. It was also helpful in surgical planning. Emergency laparotomy with appendectomy and lavage were performed on this patient who subsequently recovered.


Author(s):  
Satoshi TAKAGI ◽  
Ryosuke MISAWA ◽  
Yuji UCHIKAWA ◽  
Nobuyoshi IINUMA

2018 ◽  
Vol 8 (1) ◽  
pp. 68-70
Author(s):  
Rupesh Gautam, ◽  
Deepak Adhikari ◽  
Gemma U. De Lima ◽  
Bhawana Adhikari

A 28-yr-old male presented with sudden onset pain at the epigastric region followed by left lower abdominal pain. CT scan of the abdomen revealed reverse relation of the superior mesenteric artery and superior mesenteric vein with large bowel loops including the cecum on left side and small bowel loops on the right. An inflamed appendix arising from the base of left sided cecum was identified. The intra operative findings were consistent with CT features. This is a rare case of left sided acute appendicitis with intestinal malrotation in an adult patient. CT scan is diagnostic modality of choice and excludes other possible disease presenting with similar clinical features.  


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