A case of acute appendicitis with adult intestinal malrotation

Abstract

Intestinal malrotation is usually asymptomatic in adults so that it is often incidentally detected during examination or at laparotomy for a digestive tract disease in many cases. Recently, we experienced a case of acute appendicitis in which the correct diagnosis was difficult to not made preoperatively but incidentally it was obtained during the operation for patient with acute abdomen due to intestinal malrotation. A 78–year old man was admitted to our hospital because of abdominal pain. A laparotomy was performed under the diagnosis of ileus related to intestinal malrotation. The intra–operative diagnosis was paralytic ileus due to perforative appendicitis. It is necessary to consider the possibility of appendicitis as a diagnosis before the operation of acute abdomen when intestinal malrotation is associated.