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Chirurgia 2013 December;26(6):415-7

language: English

Left-sided acute appendicitis and midgut malrotation: a case report and literature review

Villain B. 1, Zarzavadjian Le Bian A. 1, Costi R. 1, 2, Smadja C. 1

1 Service of Digestive Surgery, Antoine Béclère Hospital Clamart, Université Paris XI, Paris, France;
2 Department of Surgical Sciences Parma University, Parma, Italy


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Midgut malrotation may be a challenging diagnosis, especially when first symptoms occur during adulthood and when it modifies clinical presentation of a common pathology. Abdominal CT-scan is the most sensitive imaging investigation to reach an early diagnostic which will involve major but appropriate adjustment in therapeutic management. We present a case of left-sided acute appendicitis related to a complete midgut malrotation, with typical CT findings, and we discuss the optimal management of this disease.

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