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KMID : 0356720080240030219
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Journal of the Korean Society of Coloproctology
2008 Volume.24 No. 3 p.219 ~ p.222
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Acute Perforated Appendicitis in a Patient with Nonrotation of the Midgut: A Case Report
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Park Seong-Jun
Ju Young-Tae
Jeong Chi-Young
Jung Eun-Jung
Lee Young-Joon
Hong Soon-Chan
Ha Woo-Song
Park Soon-Tae
Choi Sang-Kyung
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Abstract
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The presence of a malrotation of the midgut in adults is identified in asymptomatic patients most commonly as an incidental finding during a workup for an unrelated disease. We report here a rare case of acute perforated appendicitis in a patient with nonrotation of the midgut. A 28-year-old man was referred to our hospital with lower abdominal pain. The radiological examination, including abdominal computed tomography, ultrasonography, an upper gastrointestinal series, and a barium enema, revealed acute perforated appendicitis accompanied by nonrotation of the midgut. Emergency surgery revealed a complicated appendix located in the middle area of the lower abdomen with a periappendiceal abscess and nonrotation of the midgut. An ileocecal resection was performed with no postoperative complication. In this case, the atypical position of the appendix led to confusion regarding the diagnosis and to a more invasive surgical intervention. J Korean Soc Coloproctol 2008;24:219-222
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KEYWORD
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Appendicitis, Nonrotation of the midgut
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