6533b86cfe1ef96bd12c8370
RESEARCH PRODUCT
An atypical clinical presentation of acute appendicitis in a young man with midgut malrotation
Antonino TuttolomondoRobert L. LawAntonio PintoAurelio CaroniaRoberto LagallaDomenico Di RaimondoValentina ArnaoGiuseppe LicataPaola Fernandezsubject
medicine.medical_specialtybusiness.industrymedicine.diseaseAppendixAppendicitisSurgerymedicine.anatomical_structureIntestinal malrotationmedicinemidgut malrotation appendicitisAbdomenAscending colonRadiology Nuclear Medicine and imagingRadiologyPresentation (obstetrics)Intestinal DisorderbusinessPathologicaldescription
Abstract Midgut malrotation occurs as a result of failure in normal intestinal rotation and fixation during early pregnancy. Pathological conditions reported in the literature involving midgut malrotation predominantly relate to infants and children. In adults malrotation is often revealed as an incidental finding on computed tomography (CT), or the associated altered anatomy can be the cause of atypical clinical symptoms of relatively common intestinal disorders. An unusual presentation of acute appendicitis, with fever and recurrent pain in left iliac fossa is reported. Underlying intestinal malrotation delayed the correct clinical diagnosis of acute appendicitis. It was not until a CT scan was performed that a malrotation was identified. The predominant appearances of malrotation are the siting of the ascending colon, caecum (and appendix) in the left side of the abdomen and the right-sided placement of the duodenojejunal junction.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2007-05-01 |