Acute appendicitis in a young adult with midgut malrotation: a case report

Midgut rnalrotation is defined as a developmental anomaly that may cause at ypical clinical symptoms in relatively common intestinal disorders due to a ltered anatomy. A 27-year-old woman presented with acute left-sided abdomin al pain. Underlying type la malrotation prevented the correct clinical diag nosis of perforated, ulcerated appendicitis. Cross-sectional imaging demons trated all the typical signs of this type of malrotation, i.e., right-sided duodenojejunal junction, left positioned cecum and ascending colon, invert ed position of the superior mesenteric vessels, and hypoplasia of the uncin ate process of pancreas, and surgical treatment was initiated.