Acute appendicitis arising from a malrotated cecum

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Lower abdominal pain and fever

Patient Data

Age: 80 years
Gender: Male
scout
This study is a stack
Axial C+ portal
venous phase
Coronal C+ portal
venous phase
Coronal C+ portal
venous phase
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Info

Findings typical of appendicitis with thickening of the wall and surrounding soft tissue swelling.  Resultant inflammatory mass incorporating the terminal ileum with secondary mural thickening. 

Note the position of the ileo-cecal junction and appendix in the midline with colon to the left and small bowel to the right, as seen in malrotation.

Case Discussion

Findings typical of appendicitis. 

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