Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature
Intestinal malrotation in children is a rare aberration, due to a halt in the rotation and attachment of the primitive gut, it can be asymptomatic if the rotation terminates at 90 degrees, which manifests itself in unusual forms of appendicitis as in our observation, or dangerous in cases of inadequ...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322009529 |
| _version_ | 1811197049777946624 |
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| author | Rihab Aissaoui, MD Siham Nasri, MD Hajar Mahjouba, MD Salma Lokman, MD Narjisse Aichouni, MD Imane Kamaoui, MD Imane Skiker, MD |
| author_facet | Rihab Aissaoui, MD Siham Nasri, MD Hajar Mahjouba, MD Salma Lokman, MD Narjisse Aichouni, MD Imane Kamaoui, MD Imane Skiker, MD |
| author_sort | Rihab Aissaoui, MD |
| collection | DOAJ |
| description | Intestinal malrotation in children is a rare aberration, due to a halt in the rotation and attachment of the primitive gut, it can be asymptomatic if the rotation terminates at 90 degrees, which manifests itself in unusual forms of appendicitis as in our observation, or dangerous in cases of inadequate common mesentery and worsened by small intestine volvulus. This 12-year-old boy experienced abdominal discomfort in the hypogastrium and left iliac fossa 4 days before admission. The pain had been developing in a feverish setting, and the clinical examination had revealed abdominal sensitivity. A biological inflammatory syndrome was detected throughout the biological workup, the CT scan allowed the diagnosis of acute appendicitis on a complete common mesentery, and the patient underwent a laparotomy appendectomy. Even though children frequently experience acute appendicitis in its conventional form, it is nevertheless highly challenging to identify in its atypical forms when intestinal malrotation is involved. An abdominopelvic CT scan is used to make the diagnosis, and appendectomy, preferably with laparoscopy, is the recommended course of action. |
| first_indexed | 2024-04-12T01:08:40Z |
| format | Article |
| id | doaj.art-1e8c0be9eb4745688b28fedea962873e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-12T01:08:40Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-1e8c0be9eb4745688b28fedea962873e2022-12-22T03:54:10ZengElsevierRadiology Case Reports1930-04332023-02-01182441443Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literatureRihab Aissaoui, MD0Siham Nasri, MD1Hajar Mahjouba, MD2Salma Lokman, MD3Narjisse Aichouni, MD4Imane Kamaoui, MD5Imane Skiker, MD6Corresponding author.; Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, MoroccoIntestinal malrotation in children is a rare aberration, due to a halt in the rotation and attachment of the primitive gut, it can be asymptomatic if the rotation terminates at 90 degrees, which manifests itself in unusual forms of appendicitis as in our observation, or dangerous in cases of inadequate common mesentery and worsened by small intestine volvulus. This 12-year-old boy experienced abdominal discomfort in the hypogastrium and left iliac fossa 4 days before admission. The pain had been developing in a feverish setting, and the clinical examination had revealed abdominal sensitivity. A biological inflammatory syndrome was detected throughout the biological workup, the CT scan allowed the diagnosis of acute appendicitis on a complete common mesentery, and the patient underwent a laparotomy appendectomy. Even though children frequently experience acute appendicitis in its conventional form, it is nevertheless highly challenging to identify in its atypical forms when intestinal malrotation is involved. An abdominopelvic CT scan is used to make the diagnosis, and appendectomy, preferably with laparoscopy, is the recommended course of action.http://www.sciencedirect.com/science/article/pii/S1930043322009529Complete common mesenteryPerforated appendicitisImagingCase report |
| spellingShingle | Rihab Aissaoui, MD Siham Nasri, MD Hajar Mahjouba, MD Salma Lokman, MD Narjisse Aichouni, MD Imane Kamaoui, MD Imane Skiker, MD Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature Radiology Case Reports Complete common mesentery Perforated appendicitis Imaging Case report |
| title | Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature |
| title_full | Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature |
| title_fullStr | Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature |
| title_full_unstemmed | Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature |
| title_short | Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature |
| title_sort | complete common mesentery revealed by acute perforated appendicitis case report and review of the literature |
| topic | Complete common mesentery Perforated appendicitis Imaging Case report |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322009529 |
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