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Medical Science Monitor Basic Research


Left-sided acute Appendicitis occurred to diagnose Malrotation in an elder child: report of a case

Hitoshi Funahashi, Hirozumi Sawai, Yuji Okada, Hiromitsu Takeyama, Tadao Manabe

CaseRepClinPractRev 2005; 6:311-313

ID: 438997

Available online:


Background: It is general concept that malrotation is a disease of infancy. It has associated congenital abnormalities and requires the emergency operation if a symptom develops. This report represents the rare
case of malrotation in a schoolchild discovered by appendicitis as it happened.
Case Report: A 13-year-old schoolchild developed an acute left abdominal pain but X-ray and CT scan
reported no obvious abnormalities. He was found to have acute appendicitis by a contrast enema
Conclusions: In a child, the contrast enema examination is important when the diagnosis for acute abdominal pain is not turned on. As a more important thing, it is essential to consider malrotation in the
difficult diagnosis for acute abdominal pain in the older children.

Keywords: appendicitis, Malrotation, delayed diagnosis