Malrotation Anomaly Left Lower Quadrant Appendicitis

Abstract

Malrotation Anomaly Left Lower Quadrant Appendicitis

Abstract

Introduction: Acute appendicitis is one of the most commonly diagnosed surgical diseases in children with emergency abdominal pain. Atypical localized appendicitis is rare and difficult so we can see delay in diagnosis. Malrotation anomaly is also a cause of left-sided appendicitis. Herein, we present a rare case of acute appendicitis in the left lower quadrant with malrotation anomaly.Case Report: A 12-year-old male patient was admitted to the emergency department due to abdominal pain since 2 days. We discovered that the abdominal pain was initially widespread in the abdomen and gradually dispersed to the lower left side. Medical examination and radiological assessment were conducted, and a diagnosis of acute appendicitis in left lower quadrant was made. The patient subsequently underwent surgery and was discharged on the second postoperative day. Conclusion: There are many causes of left lower quadrant pain in the abdomen. In cases with suspected findings on physical examination, imaging methods can be used to diagnose rare incidents

Keywords

• Malrotation, acute appendicitis, left lower quadrant pain

References

1. Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol 2010; 16: 5598-602. [CrossRef]
2. Hanna T, Akoh JA. Acute presentation of intestinal malrotation in adults: a report of two cases. Ann R Coll Surg Engl 2010; 92: W15-8. [CrossRef]
3. Collins DC. 71,000 Human Appendix Specimens. A Final Report, Summarizing Forty Years’ Study. Am J Protocol 1963; 14: 265-81.
4. Ben Ely A, Gorelik N, Cohen-Sivan Y, Zissin R, Carpineta L, Osadchy A, et al. Appendicitis in adults with incidental midgut malrotation: CT findings. Clin Radiol 2013; 68: 1212-9. [CrossRef]
5. Zhou LY, Li SR, Wang W, Shan QY, Pan FS, Liu JC, et al. Usefulness of sonography in evaluating children suspected of malrotation: Comparison with an upper gastrointestinal contrast study. J Ultrasound Med 2015; 34: 1825-32. [CrossRef]
6. Orzech N, Navarro OM, Langer JC. Is ultrasonography a good screening test for intestinal malrotation? J Pediatr Surg 2006; 41: 1005-09. [CrossRef ]