Zengin Ertan, Turan Arzu, Calapoğlu Ahmet Salih, Nalbant Ercan, Altuntaş Gürkan
Department of Radiology, Recep Tayyip Erdoðan University Faculty of Medicine, Rize-Turkey.
Ulus Travma Acil Cerrahi Derg. 2018 Mar;24(2):178-180. doi: 10.5505/tjtes.2017.58726.
Acute appendicitis is the most common cause of acute abdominal pain, requiring emergency surgery. Approximately one third of cases have pain unexcepted location due to its various anatomical location. Acute appendicitis is a very rare cause of left lower quadrant pain; if it occurs, a few congenital anomalies should be considered such as Situs Inversus totalis and Midgut Malrotation (MM). MM is a rare congenital anomaly; it occurs due to error in process of rotation or fixation of intestines around the superior mesenteric vessels and it refers to nonrotation or incomplete rotation of intestines. Here we report a case who presented with left lower abdominal pain and was diagnosed with acute perforated appendicitis with intestinal nonrotation. Clinicians should be aware that intestinal nonrotation may be presented with left lower quadrant pain and complicated by acute appendicitis.
急性阑尾炎是急性腹痛最常见的原因，需要进行急诊手术。由于其解剖位置多样，约三分之一的病例疼痛位置不典型。急性阑尾炎是左下象限疼痛非常罕见的原因；如果发生这种情况，应考虑一些先天性异常，如全内脏反位和中肠旋转不良（MM）。MM是一种罕见的先天性异常；它是由于肠道围绕肠系膜上血管旋转或固定过程中的错误而发生的，指的是肠道未旋转或旋转不完全。在此，我们报告一例以左下腹痛就诊，被诊断为急性穿孔性阑尾炎伴肠道未旋转的病例。临床医生应意识到，肠道未旋转可能表现为左下象限疼痛，并并发急性阑尾炎。
