tailieunhanh - Báo cáo y học: " Left-sided appendicitis in a patient with congenital gastrointestinal malrotation: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Left-sided appendicitis in a patient with congenital gastrointestinal malrotation: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Left-sided appendicitis in a patient with congenital gastrointestinal malrotation a case report Frank J Welte and Mario Grosso Address Department of Radiology Baystate Medical Center Tufts University School of Medicine Springfield Massachusetts USA Email Frank J Welte - fjwelte@ Mario Grosso - Corresponding author Published 19 September 2007 Received 2 July 2007 Journal of Medical Case Reports 2007 1 92 doi 1752-1947-1-92 Accepted 19 September 2007 This article is available from http content 1 1 92 2007 Welte and Grosso licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background While appendicitis is the most common abdominal disease requiring surgical intervention seen in the emergency room setting intestinal malrotation is relatively uncommon. When patients with asymptomatic undiagnosed gastrointestinal malrotation clinically present with abdominal pain accurate diagnosis and definitive therapy may be delayed possibly increasing the risk of morbidity and mortality. We present a case where CT was crucial diagnostically and helpful for pre-surgical planning in a patient presenting with an acute abdomen superimposed on complete congenital gastrointestinal malrotation. Case presentation A 46-year-old previously healthy male with four days of primarily left-sided abdominal pain low-grade fevers nausea and anorexia presented to the Emergency Department. His medical history was significant for poorly controlled diabetes and dyslipidemia. His white blood count at that time was elevated. Initial abdominal plain films suggested small bowel obstruction. A CT scan of the abdomen and pelvis

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