JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

eISSN: 2980-0862
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
A rare case of acute abdomen: acute appendicitis in a patient with midgut malrotation
Abstract
Acute appendicitis (AA) is the most common pathology requiring surgery in patients presenting to the emergency department with abdominal pain. AA is usually suspected and diagnosed with abdominal pain localized to the right lower quadrant based on anamnesis and physical examination findings. Atypical anatomical localizations of the appendix vermiformis often do not give typical anamnesis and examination findings and cause delays in diagnosis and treatment. In the presence of Midgut Malrotation (MM) and Situs Inversus Totalis (SIT), the appendix is localized in the left lower quadrant due to malrotation. In this article, we report a case of midgut non-rotation that presented with left lower quadrant pain and was diagnosed with acute appendicitis.

Keywords : Appendicitis, malrotation, abdominal pain

Download Article


1. Hou SK, Chern CH, How CK, et al. Diagnosis of appendicitis with left lowerquadrant pain. J Chinese Med Assoc. 2005;68(12):599-603.
2. Karagülle E, Türk E, Yıldırım E, Moray G. A rare cause of left lower quadrantabdominal pain: acute appendicitis with situs inversus totalis. Turkish JTrauma Emerg Surg. 2010;16(3):268-270.
3. Bazeliuc I, Bour A. Cazuri clinice rare ale apendicitei acute. Revista literaturii.Arta Medica. 2022;82(1):28-35.
4. Chuang PW, Huang BM, Liu CH, Chen CC, Tsai MJ. Left-sided appendicitis inan elderly patient with midgut malrotation. Indian J Surg. 2015;77(3):1418-1420.
5. Abdullah O, Önder A, Taşkesen F, Mesut G, Arslan M, Kapan M. Acuteappendicitis in a patient with situs inversus totalis. Harran Üni Tıp Fak Derg.2012;9(3):138-140.
6. Gamez RA, Barrios JG, Perez DM, de Franca MT, Delgado JET, Zapata LV.Acute appendicitis in situs inversus totalis: a case report and literature review.Health Sci J. 2022;16:1-4.
7. Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis:review of 95 published cases and a case report. World J Gastroenterol: WJG.2010;16(44):5598.
8. Israelit S, Brook OR, Nira BR, Guralnik L, Hershko D. Left-sided perforatedacute appendicitis in an adult with midgut malrotation: the role of computedtomography. Emerg Radiol. 2009;16(3):217-218.
9. Kanazawa T, Kasugai K, Miyata M, et al. Midgut malrotation in adulthood.Intern Med. 2000;39(8):626-631.
10. Yılmaz Ö, Bayrak V, Çallı İ, Demir A. Sol alt kadran ağrısında ayırıcı tanı: situsinversus totalisli hastada akut apandisit. Sakarya Tıp Derg. 2014;4(2):96-99.
11. Graziano K, Islam S, Dasgupta R, et al. Asymptomatic malrotation: diagnosisand surgical management: an American Pediatric Surgical Association outcomesand evidence based practice committee systematic review. J Pediatr Surg.2015;50(10):1783-1790.
Article available in :
Volume 2, Issue 1, 2024
Page : 18-20
https://doi.org/10.51271/JOCS-0028
Article Information
Received : 11 Şub 2024
Accepted : 26 Şub 2024
Published : 28 Şub 2024
Corresponding Author :

Sadettin Er: Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey

[email protected]
Citation : Göktaş A, Karacanoğlu A, Bayazıtlı ŞM, et al. A rare case of acute abdomen: acute appendicitis in a patient with midgut malrotation. J Compr Surg. 2024;2(1):18-20.

Read: 233
Cited: 0
Download : 31
_Footer