Abstract.
Midgut malrotation is defined as a developmental anomaly that may cause atypical clinical symptoms in relatively common intestinal disorders due to altered anatomy. A 27-year-old woman presented with acute left-sided abdominal pain. Underlying type Ia malrotation prevented the correct clinical diagnosis of perforated, ulcerated appendicitis. Cross-sectional imaging demonstrated all the typical signs of this type of malrotation, i.e., right-sided duodenojejunal junction, left positioned cecum and ascending colon, inverted position of the superior mesenteric vessels, and hypoplasia of the uncinate process of pancreas, and surgical treatment was initiated.
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Bider, K., Kaim, A., Wiesner, W. et al. Acute appendicitis in a young adult with midgut malrotation: a case report. Eur Radiol 11, 1171–1174 (2001). https://doi.org/10.1007/s003300000734
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DOI: https://doi.org/10.1007/s003300000734