Acute appendicitis arising from a malrotated caecum
Lower abdominal pain and fever
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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-caecal junction and appendix in the midline with colon to the left and small bowel to the right, as seen in malrotation.
Findings typical of appendicitis.