Left side perforated appendicitis with intestinal non-rotation: a case report.

Abstract

BACKGROUND:

Acute appendicitis is the most common cause of acute abdominal pain, requiring emergency surgery. Symptoms and signs of acute appendicitis usually occur in the right lower quadrant. However, approximately one-third of cases have pain unexcepted location due to its various anatomical locations. Acute appendicitis is a very rare cause of left lower quadrant pain; if it occurs, situs inversus (SI) and midgut malrotation (MM) are uncommon anatomic anomalies that complicate its diagnosis and management.

CLINICAL PRESENTATION:

Here we present a 23-year-old Ethiopian male patient who presented with epigastric and left paraumbilical abdominal pain, fever, and vomiting of a day duration. On examination at admission, the patient had left lower quadrant tenderness. Later, with the help of imaging studies, the patient was diagnosed with left-side acute perforated appendicitis with intestinal nonrotation, and he was operated on and discharged improved after 6 days of hospital stay.

CONCLUSION:

Physicians should be aware that acute appendicitis in patients with intestinal mal-rotation may be present with left-side abdominal pain. Although it is extremely rare, acute appendicitis should always be considered in the differential diagnosis of left-side abdominal pain. An increase in awareness of this anatomical variant is essential for physicians.

• Authors: Mezgebu Alemneh Assefa, Yohannis Derbew Molla, Mensur Osman Yasin, Oumer Ahmed Ali, Zerubabel Tegegne Desita
• Journal: Journal of medical case reports (J Med Case Rep) Vol. 17 Issue 1 Pg. 302 (Jun 30 2023) ISSN: 1752-1947 [Electronic] England
• PMID: 37386482 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2023. The Author(s).

Topics

• Humans
• Male
• Young Adult
• Adult
• Appendicitis (diagnosis, diagnostic imaging)
• Intestines
• Abdominal Cavity
• Abdominal Pain (etiology)
• Abdomen, Acute