Duodenal obstruction caused by acute appendicitis with intestinal malrotation in an adult. A case report.
A 55 year old man with a short history of continuous vomiting and recent episodes of midabdominal pain and high fever was discovered to have a complete duodenal obstruction caused by acute appendicitis and intestinal malrotation. A fibrous adhesion caused by the inflamed appendix in the high caecum involved the duodeno-jejunal junction. This case is unique in that the onset of acute appendicitis triggered duodenal obstruction in the presence of an asymptomatic malrotation.
Ueo
H
H
Department of Surgery, Kyushu University, Japan.
Nagamatsu
M
M
Nakamura
A
A
Matsuura
R
R
Hara
O
O
D000208:Acute Disease; D001064:Appendicitis / Q000150:complications*; D004380:Duodenal Obstruction / Q000209:etiology*; D006801:Humans; D007420:Intestine, Large / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged