Left Sided Burst Appendix in a Patient with Intestinal Malrotation without Situs Inversus: A Rare Entity

Authors

  • Md Kamruzzaman Lt Col, MBBS, FCPS, Classified Specialist in Surgery, Combined Military Hospital (CMH) Dhaka, Dhaka Cantonment
  • Md Neazul Islam Majumdar Col, MBBS, FCPS (Surgery), FCPS (Thoracic Surgery), Department of Surgery, CMH Sylhet, Jalalabad Cantonment
  • Syed Abdul Quader Lt Col, MBBS, FCPS, Classified Specialist in Radiology, CMH Sylhet, Jalalabad Cantonment
  • Sadia Afrin Dr Sadia Afrin, MBBS, Department of Gynaecology and Obstetrics, Kurmitola General Hospital, Dhaka.

DOI:

https://doi.org/10.3329/jafmc.v20i2.80411

Keywords:

Appendix, Left-Sided Appendicitis, Intestinal Malrotation, Situs Inversus

Abstract

Appendicitis is a common surgical emergency, typically presenting with right lower quadrant abdominal pain. However, atypical presentations, such as left-sided appendicitis, pose significant diagnostic challenges, especially in patients with underlying conditions like intestinal malrotation. A 40-year-old female was diagnosed with a left-sided burst appendix, initially diagnosed as peptic ulcer disease. After experiencing severe abdominal pain and distension, the patient underwent a CT scan which revealed free gas under the diaphragm and finally was intraoperatively diagnosed as left-sided burst appendix, complicated by intestinal malrotation. The patient underwent a successful appendectomy and postoperative complications were managed. The case emphasizes the need for differential diagnosis of abdominal pain, particularly left-sided appendicitis, especially in coexisting conditions like intestinal malrotation and calls for comprehensive diagnostic approaches and adaptable surgical management in atypical presentations.

JAFMC Bangladesh, Vol 20, No 2 (December) 2024: 41-44

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Published

2025-07-01

How to Cite

Kamruzzaman, M., Majumdar, M. N. I., Quader, S. A., & Afrin, S. (2025). Left Sided Burst Appendix in a Patient with Intestinal Malrotation without Situs Inversus: A Rare Entity. Journal of Armed Forces Medical College, Bangladesh, 20(2), 41–44. https://doi.org/10.3329/jafmc.v20i2.80411

Issue

Section

Case Reports