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Case Reports
. 2006 Sep 7;12(33):5399-400.
doi: 10.3748/wjg.v12.i33.5399.

A left-sided periappendiceal abscess in an adult with intestinal malrotation

Min-Ro Lee  1 , Jong-Hun Kim, Yong Hwang, Young-Kon Kim
Affiliations
Case Reports

A left-sided periappendiceal abscess in an adult with intestinal malrotation

Min-Ro Lee et al. World J Gastroenterol. .

Abstract

Left-sided periappendiceal abscesses occur in association with two types of congenital anomaly: intestinal malrotation and situs inversus. It is difficult to obtain an accurate preoperative diagnosis of these abscesses due to the abnormal position of the appendix. We present an unusual case of a left-sided periappendiceal abscess in an adult with intestinal malrotation, the diagnosis of which was a challenge.

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Figures

Figure 1
Figure 1
CT abdominal scan showing the presence of a solid fluid-containing tumor in the left lower quadrant (arrow).
Figure 2
Figure 2
Radiograph using water-soluble contrast media showing the entire colon present in the left half of the abdomen, with the cecum in the left lower quadrant. Contrast filling of the terminal ileum is shown (arrow). Irregular contour of the cecum (arrowhead) is shown with no contrast filling of the appendix. A pig-tail catheter is located at the area corresponding to the abscess pocket.
Figure 3
Figure 3
Intraoperative photography showing severe appendix infla-mmation (arrow) and the ileocecal region located in the left lower quadrant.
See this image and copyright information in PMC

References

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