Acute appendicitis in a young adult with midgut malrotation: a case report |
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Authors: | Bider K Kaim A Wiesner W Bongartz G |
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Affiliation: | Department of Radiology, University Hospital Basel, Switzerland. biderk@uhbs.ch |
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Abstract: | Midgut malrotation is defined as a developmental anomaly that may cause atypical clinical symptoms in relatively common intestinal disorders due to altered anatomy. A 27-year-old woman presented with acute left-sided abdominal pain. Underlying type Ia malrotation prevented the correct clinical diagnosis of perforated, ulcerated appendicitis. Cross-sectional imaging demonstrated all the typical signs of this type of malrotation, i.e., right-sided duodenojejunal junction, left positioned cecum and ascending colon, inverted position of the superior mesenteric vessels, and hypoplasia of the uncinate process of pancreas, and surgical treatment was initiated. |
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Keywords: | Intestine Malrotation Appendicitis Computed tomography |
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