Left- sided Acute Appendicitis with Intestinal Malrotation in an Adult:a Diagnostic Challenge

Authors

  • Rupesh Gautam Chitwan Medical College, Bharatpur
  • U De Lima Gemma St. Luke’s Medical Center Global City
  • Bhawana Adhikari Nepal Medical College, Kathmandu

DOI:

https://doi.org/10.3126/njr.v7i1-2.19357

Keywords:

Acute appendicitis, Adult presentation, Intestinal Malrotation

Abstract

A 28-yr-old male presented with sudden onset pain at the epigastric region followed by left lower abdominal pain. CT scan of the abdomen revealed reverse relation of the superior mesenteric artery and superior mesenteric vein with large bowel loops including the cecum on the left side and small bowel loops on the right. An inflamed appendix arising from the base of left sided cecum was identified. The intraoperative findings were consistent with CT features. This is a rare case of left sided acute appendicitis with intestinal malrotation in an adult patient. CT scan is diagnostic modality of choice and excludes other possible disease presenting with similar clinical features.

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Author Biographies

Rupesh Gautam, Chitwan Medical College, Bharatpur

Department of Radiology and Imaging

U De Lima Gemma, St. Luke’s Medical Center Global City

Department of Radiology

Bhawana Adhikari, Nepal Medical College, Kathmandu

Department of Radiology and Imaging

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Published

2018-03-18

How to Cite

Gautam, R., De Lima Gemma, U., & Adhikari, B. (2018). Left- sided Acute Appendicitis with Intestinal Malrotation in an Adult:a Diagnostic Challenge. Nepalese Journal of Radiology, 7(1-2), 27–30. https://doi.org/10.3126/njr.v7i1-2.19357

Issue

Section

Case Reports