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Related Experiment Video

Updated: May 6, 2026

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

Published on: April 11, 2025

Sub-hepatic caecum.

Nagashree M V¹, Gireesh, Lakshmi Prabha Subhash

¹Assistant Professor, Department of Anatomy, Sri Siddhartha Medical College , Tumkur, Karnataka-572107, India .

Journal of Clinical and Diagnostic Research : JCDR

|November 2, 2013

Summary

This study highlights rare congenital intestinal malrotation, specifically an abnormal cecum position. This condition can lead to diagnostic challenges and surgical complications in adults.

Keywords:

Acute appendicitis Mal rotation Sub–hepatic caecum

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Area of Science:

Gastroenterology
Surgical Anatomy
Developmental Biology

Background:

Intestinal malrotation is a congenital disorder affecting midgut positioning and vascular supply, often presenting in newborns but underrecognized in adults.
Variations in midgut development can lead to complex anatomical abnormalities, impacting surgical diagnosis and treatment.
A sub-hepatic appendix, resulting from malrotation, complicates appendicitis diagnosis, particularly in older individuals.

Purpose of the Study:

To report a rare case of cecal malrotation with an absent ascending colon found during routine anatomical dissection.
To emphasize the importance of recognizing congenital intestinal malplacements in adult surgical practice.
To underscore the potential for diagnostic errors and prolonged surgical procedures due to unrecognized anatomical variations.

Main Methods:

Anatomical dissection during routine undergraduate classes.
Observation and documentation of a rare congenital abnormality of the cecum and ascending colon.

Main Results:

A rare anatomical abnormality was identified: the cecum was located in the sub-hepatic region.
The ascending colon was absent in conjunction with the malrotated cecum.
This finding occurred during routine dissection, indicating potential for missed diagnoses in clinical settings.

Conclusions:

Congenital intestinal malrotation, including cecal and colonic anomalies, can present atypically in adults.
Recognition of these rare anatomical variations is crucial for accurate diagnosis and effective surgical management.
Routine anatomical studies remain vital for uncovering and understanding such developmental anomalies.