CASE REPORTS   

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

Copyright © 2013 EDIZIONI MINERVA MEDICA

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

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.