CT presentation of ruptured appendicitis in an adult with incomplete intestinal malrotation

Chung Jung Lin, Chui Mei Tiu, Yi Hong Chou, Jen Dar Chen, Wen Yih Liang, Cheng Yen Chang
Emergency Radiology 2004, 10 (4): 210-2
Intestinal malrotation is defined anatomically as a developmental anomaly. It may cause atypical clinical symptoms in relatively common intestinal disorders because of the altered anatomy. A 64-year-old man presented with acute mid-abdominal pain. Underlying incomplete malrotation prevented the correct clinical diagnosis of ruptured appendicitis. Computer tomography demonstrated typical signs of malrotation, i.e., right-sided duodenojejunal junction, left position of cecum, inverted position of the superior mesenteric vessels, and pathology revealed a ruptured appendix with an abscess and a coincident mucinous cystadenoma.

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