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Role of CT in left-sided acute appendicitis: case report
R S Ratani1, J O Haller, W Y Wang
1Department of Radiology, New York Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215, USA.
Abdominal Imaging
|December 12, 2001
Summary
Left-sided acute appendicitis with midgut malrotation is rare. Computed tomography accurately diagnoses this condition and identifies associated anomalies needing surgical correction.
Area of Science:
- Radiology
- Surgical Anatomy
Background:
- Midgut malrotation is a congenital anomaly where the intestines fail to properly rotate during fetal development.
- Left-sided appendicitis, while uncommon, can occur and may be associated with congenital anomalies.
- Accurate diagnosis is crucial for appropriate surgical management.
Observation:
- A case of left-sided acute appendicitis was identified in a patient with midgut malrotation.
- Computed tomography (CT) visualized the inflamed appendix in the left lower quadrant.
- The CT scan also revealed the entire colon in the left abdomen and a superior mesenteric vein rotation sign, confirming malrotation.
Findings:
- Computed tomography effectively diagnosed left-sided appendicitis.
- CT imaging identified the rare concurrent finding of midgut malrotation.
- The superior mesenteric vein rotation sign on CT confirmed the diagnosis of malrotation.
Implications:
- CT is a valuable tool for diagnosing left-sided appendicitis and associated malrotation.
- Early detection of malrotation is important as it may require separate surgical intervention.
- This case highlights the utility of CT in complex abdominal presentations.
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