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2013 ; 2013
(ä): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Left-sided appendicitis in children with congenital gastrointestinal malrotation:
a diagnostic pitfall in the emergency department
#MMPMID23761499
Taslakian B
; Issa G
; Hourani R
; Akel S
BMJ Case Rep
2013[Jun]; 2013
(ä): ä PMID23761499
show ga
Acute appendicitis is one of the most common conditions requiring emergency
surgery. However, acute appendicitis presenting with left lower quadrant
abdominal pain is extremely rare. Imaging, particularly CT , plays an important
role in establishing an accurate and prompt diagnosis, as delay in diagnosis may
occur due to lack of uniformity in the clinical signs and symptoms. We report a
rare case of a 10-year-old boy who presented with persistent left lower quadrant
pain of several days duration, in which the CT scan of the abdomen and pelvis was
essential in establishing the correct diagnosis. The malpositioned inflamed
appendix was clearly identified in the left side of the abdomen, with the
characteristic CT findings of uncomplicated intestinal malrotation. Left-sided
acute appendicitis should be considered in the differential diagnosis of young
patients presenting with left lower quadrant pain, in order to avoid delay in
diagnosis and guide the surgical intervention.