Abstract
Background
We report a case of an atypical presentation of acute appendicitis in an adult due
to an undiagnosed congenital gut malrotation.
Objective
The obvious benefit of observation with serial examinations followed by the use of
computed tomography (CT) is discussed in aiding in the diagnosis for atypical presentations
of appendicitis.
Case Report
A 45-year-old man who presented with epigastric pain and vomiting was diagnosed with
acute left-sided appendicitis on CT scan. The patient’s appendix was located in the
left lower quadrant of the abdomen due to undiagnosed congenital gut malrotation,
thus resulting in an atypical presentation of a common illness.
Conclusion
Observation with serial examinations, followed by CT scanning if indicated, is an
invaluable strategy to use in diagnosing atypical presentations of common pathology.
Keywords
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Article info
Publication history
Published online: March 29, 2012
Accepted:
January 19,
2012
Received in revised form:
July 18,
2011
Received:
April 22,
2011
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
