Radiology Case Reports (Oct 2022)

Left-sided appendicitis revealing a common mesentery: A Case Report

  • Farid Aassouani, MD,
  • Yahya Charifi, MD,
  • Chaymae Hajjar, MD,
  • Nizar El Bouardi, PhD,
  • Meryem Haloua, PhD,
  • Badreeddine Alami, PhD,
  • Moulay Youssef Alaoui Lamrani, PhD,
  • Youssef Bouabdallah, PhD,
  • Mustapha Maaroufi, PhD,
  • Meriem Boubbou, PhD

Journal volume & issue
Vol. 17, no. 10
pp. 3718 – 3721

Abstract

Read online

Intestinal malrotation is a congenital rotational anomaly that results of abnormal rotation of the gut, said to occur in 1 in 6000 live births. Common mesentery predisposes to volvulus of the midgut and internal hernias due to the left position of the cecum and appendix. The association of this anomaly with acute left appendicitis is rarely reported in the literature. Occurrence of acute appendicitis on common mesentery is a source of diagnosis difficulties, which may lead to a surgical management delay. We report a case of a 10-year-old boy, admitted for a left-sided iliac pain whose radiological investigations confirmed a left acute appendicitis associated with complete common mesentery. The child underwent laparoscopic surgery with simple post-operative follow-up.

Keywords