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Left-Sided Appendicitis in an Elderly Patient with Midgut Malrotation

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Abstract

Appendicitis is a common surgical abdominal disease with various presentations. Its diagnosis may be obscured by asymptomatic congenital anatomical anomalies like midgut malrotation. Midgut malrotation is a rare fetal anomaly resulting from incomplete or failure of midgut rotation and fixation. It is mostly presented with bowel obstruction or volvulus in early life. Presentation in adult is rare. Here, we report an elderly patient presented with left lower abdominal pain and urinary tract infection. Abdominal computed tomography revealed left-sided appendicitis with non-rotational-type midgut malrotation. Clinicians should bear in mind the possibility of underlying midgut malrotation, as appendicitis could be the first presentation of this rare congenital condition.

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Conflict of Interest

All authors (Pei Wen Chuang, Bo-Ming Huang, Chung Hsien Liu, Chien-Chin Chen and Ming-Jen Tsai) declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Emergency Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, No. 539, Zhongxiao Road, East District, Chiayi City, 600, Taiwan

    Pei Wen Chuang, Bo-Ming Huang, Chung Hsien Liu & Ming-Jen Tsai

  2. Department of Pathology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan

    Chien-Chin Chen

  3. Department of Cosmetic Science, Chia Nan University of Pharmacy and Science, Tainan, Taiwan

    Chien-Chin Chen

Authors
  1. Pei Wen Chuang
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  2. Bo-Ming Huang
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  3. Chung Hsien Liu
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  4. Chien-Chin Chen
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  5. Ming-Jen Tsai
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Corresponding author

Correspondence to Ming-Jen Tsai.

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Chuang, P.W., Huang, BM., Liu, C.H. et al. Left-Sided Appendicitis in an Elderly Patient with Midgut Malrotation. Indian J Surg 77 (Suppl 3), 1418–1420 (2015). https://doi.org/10.1007/s12262-014-1200-9

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  • DOI: https://doi.org/10.1007/s12262-014-1200-9

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