A Rare Cause of Left Lower Quadrant Abdominal Pain: Atypically Located Acute Appendicitis Due to Malrotation: Case Report

Abstract

Malrotation is an anomaly that occurs when the embryological middle bowel, or ‘midgut’, rotates around the superior mesenteric artery and ends with opposite fixation to the peritoneum. There are many causes of left lower quadrant abdominal pain, the main reasons being diverticulitis, hernias, neoplasms, sigmoid colon perforations, testicular torsions, urinary pathologies, and gynecological pathologies. Although left lower quadrant abdominal pain is associated with the diagnosis of acute appendicitis in patients with malrotation, a known history of malrotation is helpful for diagnosis. In this case report, a patient who admitted with left lower quadrant abdominal pain and was diagnosed as malrotation and acute appendicitis is presented.

Keywords

• Malrotation
• peritoneum
• appendicitis