Radiography
Volume 13, Issue 2 , Pages 164-168 , May 2007

An atypical clinical presentation of acute appendicitis in a young man with midgut malrotation

  • Antonio Pinto

      Affiliations

    • Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Piazza delle Cliniche n° 2, 90127 Palermo, Italy
    • Corresponding Author InformationCorresponding author. Via Segesta n° 5, 90141 Palermo, Italy. Tel.: +39 0916552102/+39 0916552128; fax: +39 0916552285.
    • ,
  • Domenico Di Raimondo

      Affiliations

    • Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Piazza delle Cliniche n° 2, 90127 Palermo, Italy
    • ,
  • Antonino Tuttolomondo

      Affiliations

    • Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Piazza delle Cliniche n° 2, 90127 Palermo, Italy
    • ,
  • Paola Fernandez

      Affiliations

    • Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Piazza delle Cliniche n° 2, 90127 Palermo, Italy
    • ,
  • Aurelio Caronia

      Affiliations

    • Dipartimento di Biotecnologie Mediche – Sezione di Radiologia, University of Palermo, Via del Vespro n° 129, 90127 Palermo, Italy
    • ,
  • Roberto Lagalla

      Affiliations

    • Dipartimento di Biotecnologie Mediche – Sezione di Radiologia, University of Palermo, Via del Vespro n° 129, 90127 Palermo, Italy
    • ,
  • Valentina Arnao

      Affiliations

    • Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Piazza delle Cliniche n° 2, 90127 Palermo, Italy
    • ,
  • Robert L. Law

      Affiliations

    • Department of Radiology, Frenchay Hospital, Bristol, UK
    • ,
  • Giuseppe Licata

      Affiliations

    • Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Piazza delle Cliniche n° 2, 90127 Palermo, Italy

Received 22 September 2004 ,Accepted 20 October 2005.

References 

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  2. Dietz DW, Walsh RM, Grundfest-Broniatowski S, Lavery IC, Fazio VW, Vogt DP. Intestinal malrotation: a rare but important cause of bowel obstruction in adults. Dis Colon Rectum. 2002;45(10):1381–1386
  3. Gamblin TC, Stephens RE, Johnson RK, Rothwell M. Adult malrotation: a case report and review of the literature. Curr Surg. 2003;60(5):517–520
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  7. Fukuya T, Brown BP, Lu CC. Midgut volvulus as a complication of intestinal malrotation in adults. Dig Dis Sci. 1993;38(3):438–444
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  9. Ben Salem D, Benslimane Y, Salve N, Cercueil JP, Verain C, Deschamps M, et al. Meckel's diverticulum and mesenterium commune in a patient with gastrointestinal bleeding. Acta Radiol. 2002;43(3):312–314
  10. Harvey GS, Giles GR. Associated midgut malrotation and Meckel's diverticulum presenting in adult life. Br J Surg. 1974;61(2):157–158
  11. Zissin R, Rathaus V, Oscadechy A, Kots E, Gayer G, Shapiro-Feinberg M. Intestinal malrotation as an incidental finding on CT in adults. Abdom Imaging. 1999;24:550–555
  12. Balthazar EJ. Intestinal malrotation in adults. Roentgenographic assessment with emphasis on isolated complete and partial nonrotations. Am J Roentgenol. 1976;126:358–367
  13. Mindelzum RE, Jeffrey RB. The acute abdomen: current CT imaging techniques. Semin Ultrasound CT MR. 1999;20:63–67
  14. Nichols DM, Li DK. Superior mesenteric vein rotation: a CT sign of midgut malrotation. Am J Roentgenol. 1983;141:707–708
  15. Zerin JM, DiPietro MA. Mesenteric vascular anatomy at CT: normal and abnormal appearances. Radiology. 1991;179(3):739–742
  16. Chou CK, Mak CW, Hou CC, Chang JM, Tzeng WS. CT of the mesenteric vascular anatomy. Abdom Imaging. 1997;22:477–482
  17. Buranasiri SI, Baum S, Nusbaum M, Tumen H. The angiographic diagnosis of midgut malrotation with volvulus in adults. Radiology. 1973;109(3):555–556
  18. von Flue M, Herzog U, Ackermann C, Tondelli P, Harder F. Acute and chronic presentation of intestinal nonrotation in adults. Dis Colon Rectum. 1994;37(2):192–198

PII: S1078-8174(05)00189-6

doi: 10.1016/j.radi.2005.10.010

Radiography
Volume 13, Issue 2 , Pages 164-168 , May 2007

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