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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Appendicitis-II: Diagnostic Studies and Management01:29

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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A Case Report on Left-sided Appendicitis with Intestinal Malrotation.

Himal Kharel1, Nishan B Pokhrel1, Zeni Kharel2

  • 1Orthopaedics, Tribhuvan University Institute of Medicine, Kathmandu, NPL.

Cureus
|February 28, 2020
PubMed
Summary

Acute appendicitis can mimic other conditions, especially with intestinal malrotation. This case highlights a rare instance of left-sided appendicitis in a patient with undiagnosed intestinal malrotation, emphasizing diagnostic awareness.

Keywords:
appendectomyintestinal malrotationleft-sided appendicitis

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy

Background:

  • Acute appendicitis frequently presents as a diagnostic challenge, mimicking various gastrointestinal and genitourinary conditions.
  • Intestinal malrotation is an uncommon congenital anomaly that can complicate the diagnosis of intra-abdominal pathologies.

Observation:

  • A 32-year-old male presented with left-sided abdominal pain, atypical location for appendicitis.
  • Imaging revealed intestinal malrotation and acute appendicitis, necessitating surgical intervention.

Findings:

  • The patient underwent appendectomy and Ladd's procedure for intestinal malrotation.
  • Successful surgical management resulted in no postoperative complications.

Implications:

  • This case underscores the importance of considering intestinal malrotation in atypical appendicitis presentations.
  • Increased awareness among clinicians is crucial for timely diagnosis and management of this rare association.