Acute appendicitis arising from a malrotated caecum

Case contributed by Dr Chris O'Donnell

Presentation

Lower abdominal pain and fever

Patient Data

Age: 80 years
Gender: Male

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.

Case Discussion

Findings typical of appendicitis. 

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Case information

rID: 19970
Published: 26th Oct 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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