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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Int+J+Surg+Case+Rep 2015 ; 14 (ä): 10-2 Nephropedia Template TP
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A diagnostic dilemma: Left-sided appendicitis in a 10 year old boy with previously undiagnosed intestinal malrotation A case report #MMPMID26204440
Shekhar A; Hendahewa R; Premaratne G
Int J Surg Case Rep 2015[]; 14 (ä): 10-2 PMID26204440show ga
?Intestinal malrotation is a congenital rotational anomaly that occurs as a result of an arrest of normal rotation of the embryonic gut, said to occur in 1 in 6000 live births. Once thought to be a disease of infancy, is now more prevalent in older ages.?Cases of left sided appendicitis with previously undiagnosed intestinal malrotation therefore becomes more challenging to diagnose, and often time?s definitive surgical management is delayed. A varied list of differential diagnosis needs to be considered.?This case presentation shows the difficulties encountered and the variation in presentation that lead us down a different path prior to attaining a formal diagnosis.?CT abdomen was required to confirm the diagnosis, and in a paediatric age group, radiation exposure is always weighed upon risk-benefit ratio.?Definitive management is surgical intervention.