title: Acute appendicitis with intestinal malrotation: the usefulness of coronal computed tomography.
abstract: We herein present a rare case of acute appendicitis with intestinal malrotation. Coronal images of contrast-enhanced computed tomography (CT) revealed the small intestine on the right side and the large intestine on the left side, thus indicating intestinal malrotation (non-rotation type). In addition, an enhanced, tubular, fluid-filled structure was detected attached to the cecum, which was located superior to the urinary bladder, suggesting acute appendicitis. The present study shows that coronal CT images provide important information for the diagnosis and treatment of acute appendicitis in patients with intestinal malrotation.
authors.affiliation: Department of Radiology, Wakayama Medical University, Japan.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Sonomura
authors.forename: Takao
authors.initials: T
authors.lastname: Koyama
authors.forename: Seigo
authors.initials: S
authors.lastname: Ishii
authors.forename: Taizo
authors.initials: T
authors.lastname: Takeuchi
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sanda
authors.forename: Kouhei
authors.initials: K
authors.lastname: Nakata
authors.forename: Motoki
authors.initials: M
authors.lastname: Nakai
authors.forename: Hiroki
authors.initials: H
authors.lastname: Minamiguchi
authors.forename: Kazushi
authors.initials: K
authors.lastname: Kishi
authors.forename: Morio
authors.initials: M
authors.lastname: Sato
mesh_terms: D000208:Acute Disease; D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000000981:diagnostic imaging* / Q000601:surgery; D001065:Appendix / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed / Q000379:methods*