Au Acy, Syed A, Bradpiece Ha
Princess Alexandra Hospital, Harlow, UK.
J Surg Case Rep. 2010 Oct 1;2010(8):3. doi: 10.1093/jscr/2010.8.3.
Appendicitis is a common surgical condition with various clinical presentations. The diagnosis could be obscured by underlying undiagnosed anatomical anomalies like intestinal malrotation. Intestinal malrotation is a rare foetal anomaly resulting from an incomplete, or failure of midgut rotation and fixation. 85% of cases have been estimated to present in the first two weeks of life. Presentation at adulthood is rare. In cases where peritonism is elicited elsewhere other than the right iliac fossa, clinicians should bear in mind the possibility of underlying intestinal malrotation, as this could be the first presentation of this rare congenital condition.
阑尾炎是一种常见的外科疾病，有多种临床表现。潜在的未被诊断出的解剖异常（如肠旋转不良）可能会使诊断变得模糊。肠旋转不良是一种罕见的胎儿异常，由中肠旋转和固定不完全或失败引起。据估计，85%的病例在出生后的头两周内出现。在成年期出现的情况很少见。在右髂窝以外的其他部位引发腹膜炎的病例中，临床医生应牢记存在潜在肠旋转不良的可能性，因为这可能是这种罕见先天性疾病的首次表现。
