Sol Alt Kadran Ağrısının Nadir Bir Nedeni: İntestinal Malrotasyonlu Bir Hastada Akut Apandisit

Yıl 2022, Cilt: 12 Sayı: 1, 87 - 89, 01.04.2022

Mesud Fakirullahoğlu Nurhak Aksungur

Öz

Akut apandisit, akut karın ağrısının en sık cerrahi nedenidir. Normalde akut apandisite sekonder karın ağrısı sağ alt kadranda lokalize olurken, intestinal malrotasyon veya situs inversus totalis durumunda karın ağrısı sol alt kadranda lokalizedir. Bu durumlar tanı ve tedavide gecikmeye neden olabilmektedir. Bu olgu sunumunda intestinal malrotasyona bağlı atipik lokalize akut apandisit olgusunun tanı ve tedavi sürecinin literatür eşliğinde sunulması amaçlanmıştır.

Anahtar Kelimeler

karın ağrısı, apandisit, intestinal malrotasyon

A Rare Cause of Left Lower Quadrant Pain: Acute Appendicitis in a Patient with Intestinal Malrotation

Öz

Acute appendicitis is the most common surgical cause of acute abdominal pain. Normally, abdominal pain secondary to acute appendicitis is localized in the right lower quadrant, whereas in case of intestinal malrotation or situs inversus totalis, the abdominal pain is localized in the left lower quadrant. These conditions may lead to delay in diagnosis and treatment. In this case report, it is aimed to present the diagnosis and treatment process of an atypically localized acute appendicitis case due to intestinal malrotation in the light of the literature.

Anahtar Kelimeler

abdominal pain, appendicitis, intestinal malrotation

Kaynakça

• 1. Kalayci T. Flank abscess after perforated acute appendicitis. Anatolian J Emerg Med. 2021;4(3):106–9.
• 2. Kahramanca Ş, Anuk T, Yıldırım AC. A rare acute abdomen: Appendix duplication. Causepedia. 2018;7(1):5–8.
• 3. Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. The Journal of emergency medicine. 2001;20(3):241–45.
• 4. Yeni M, Peksöz R, Dablan A, et al. A rare acute abdomen case: Acute appendicitis in the patient with situs inversus totalis. J Surg Med. 2019;3(10):766–8.
• 5. Saliba C, Diab SH, Nicolas G, et al. Pitfalls of diagnosing left lower quadrant pain causes: Making the uncommon common again. Am J Case Rep. 2019;20:78–82.
• 6. Hou S-K, Chern C-H, How C-K, et al. Diagnosis of appendicitis with left lower quadrant pain. Journal of the Chinese Medical Association. 2005;68(12):599–603.
• 7. Kalaycı T. Epiploic appendicitis at the hepatic flexure with incidentally detected acute appendicitis. Turk J Colorectal Disease. 2021;31;336–339.
• 8. Kamiyama T, Fujiyoshi F, Hamada H, et al. Left-sided acute appendicitis with intestinal malrotation. Radiation medicine. 2005;23(2):125–27.
• 9. Sloan K, Alzamrooni A, Stedman FE, et al. Diagnostic laparoscopy to exclude malrotation following inconclusive upper gastrointestinal contrast study in infants. Pediatric Surgery International. 2020;36(10):1221–1225. 10. Akbulut S, Ulku A, Senol A, et al. Left-sided appendicitis: review of 95 published cases and a case report. World journal of gastroenterology: WJG. 2010;16(44):5598.
• 11. Graziano K, Islam S, Dasgupta R, et al. Asymptomatic malrotation: Diagnosis and surgical management: An American Pediatric Surgical Association outcomes and evidence based practice committee systematic review. J Pediatr Surg. 2015;50(10):1783–90.