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A left-sided periappendiceal abscess in an adult with intestinal malrotation

Min-Ro Lee1, Jong-Hun Kim, Yong Hwang

  • 1Department of Surgery, Chonbuk National University Medical School, San 2-20 Geumam-dong, Deokjin-gu, Jeonju 561-756, South Korea.

World Journal of Gastroenterology
|September 19, 2006
PubMed

Insights

Left-sided periappendiceal abscesses are rare, often linked to intestinal malrotation or situs inversus. Diagnosing these abscesses preoperatively is challenging due to the appendix

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Left-sided periappendiceal abscesses are uncommon.
  • They are associated with congenital anomalies like intestinal malrotation and situs inversus.

Observation:

  • This report details an unusual case of a left-sided periappendiceal abscess in an adult patient.
  • The patient had a known congenital anomaly of intestinal malrotation.

Findings:

  • Preoperative diagnosis of left-sided periappendiceal abscesses is difficult.
  • The abnormal position of the appendix in intestinal malrotation complicates accurate diagnosis.

Implications:

  • This case highlights the diagnostic challenges associated with left-sided periappendiceal abscesses in adults with intestinal malrotation.
  • Improved awareness and diagnostic strategies may be needed for these rare presentations.

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