Acute appendicitis in a young adult with midgut malrotation: a case report.
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.
Bider
K
K
Department of Radiology, University Hospital Basel, Switzerland. biderk@uhbs.ch
Kaim
A
A
Wiesner
W
W
Bongartz
G
G
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001064:Appendicitis / Q000473:pathology*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000473:pathology; D007422:Intestines / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D011859:Radiography; D014102:Torsion Abnormality / Q000000981:diagnostic imaging*