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Emergency radiology · Feb 2004
Case ReportsCT presentation of ruptured appendicitis in an adult with incomplete intestinal malrotation.
- Chung Jung Lin, Chui Mei Tiu, Yi Hong Chou, Jen Dar Chen, Wen Yih Liang, and Cheng Yen Chang.
- Department of Radiology, Veterans General Hospital, Taipei, Taiwan, Republic of China.
- Emerg Radiol. 2004 Feb 1; 10 (4): 210-2.
AbstractIntestinal malrotation is defined anatomically as a developmental anomaly. It may cause atypical clinical symptoms in relatively common intestinal disorders because of the altered anatomy. A 64-year-old man presented with acute mid-abdominal pain. Underlying incomplete malrotation prevented the correct clinical diagnosis of ruptured appendicitis. Computer tomography demonstrated typical signs of malrotation, i.e., right-sided duodenojejunal junction, left position of cecum, inverted position of the superior mesenteric vessels, and pathology revealed a ruptured appendix with an abscess and a coincident mucinous cystadenoma.
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