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Left-sided appendicitis revealing a common mesentery: A Case Report
Farid Aassouani1, Yahya Charifi1, Chaymae Hajjar1
1Department of Radiology Mother and Child, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fes, Morocco.
Radiology Case Reports
|August 12, 2022
Summary
Intestinal malrotation, a rare congenital anomaly, can predispose individuals to conditions like left-sided appendicitis. This case highlights diagnostic challenges and successful laparoscopic treatment in a pediatric patient.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Radiology
- Congenital Anomalies
Background:
- Intestinal malrotation occurs in 1 in 6000 live births, involving abnormal gut rotation.
- Common mesentery, a related anomaly, increases risks of midgut volvulus and internal hernias.
- Left-sided acute appendicitis associated with intestinal malrotation is infrequently documented.
Observation:
- A 10-year-old boy presented with left iliac pain, atypical for appendicitis.
- Radiological imaging revealed acute appendicitis located on the left side.
- The patient was diagnosed with complete common mesentery, a condition linked to malrotation.
Findings:
- The case demonstrates a rare presentation of acute appendicitis secondary to intestinal malrotation with common mesentery.
- Diagnosis was complicated by the atypical left-sided location of the inflamed appendix.
- Laparoscopic surgery was successfully performed with an uncomplicated postoperative course.
Implications:
- This case underscores the importance of considering intestinal malrotation in pediatric patients with atypical appendicitis presentations.
- Early diagnosis and surgical intervention are crucial to prevent complications associated with malrotation and appendicitis.
- Enhanced awareness and diagnostic imaging protocols may improve outcomes for this rare condition.
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