Publication: Left-sided Appendicitis with Intestinal Non-rotation: A Case Report Authors
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Appendicitis rarely presents with an left lower abdominal pain especially when the intestine is non-rotated or malrotated. Its diagnosis becomes quite troublesome to clinicians and delays prompt intervention. Non-rotation is the most common type of intestinal malrotation. Here, we present a case of a 40-year-old female with previously undiagnosed intestinal non-rotation with left lower abdominal pain and features of localised peritonitis. Abdominal ultrasonography and multidetector computerised tomography showed left-sided appendicitis with intestinal non-rotation. Diagnostic laparoscopy followed by explorative laparotomy and appendectomy was performed. Clinicians and surgeons are usually trained to diagnose and operate on right-sided appendix, thus, diagnosing and promptly intervening on left-sided appendicitis is quite challenging. Left-sided appendicitis must be kept in mind if a patient presents with left lower abdominal pain. Timely radiological scans like ultrasonography and computerised tomography scans help in prompt diagnosis in these cases.
Description
Ashish Mohan Bhattarai
Department of Radiodiagnostics, Nobel Medical College, Biratnagar, Morang, Nepal
https://orcid.org/0000-0001-5072-0944
Yogendra Devkota
Department of Surgery, Nobel Medical College, Biratnagar, Morang, Nepal
Ayush Mohan Bhattarai
Department of Medicine, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
https://orcid.org/0000-0001-6730-0292
Keywords
appendicitis, case report, peritonitis.