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Inicio Cirugía Española (English Edition) Acute Appendicitis in a Patient With Intestinal Malrotation
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Vol. 92. Issue 8.
Pages e47 (October 2014)
Vol. 92. Issue 8.
Pages e47 (October 2014)
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DOI: 10.1016/j.cireng.2014.02.014
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Acute Appendicitis in a Patient With Intestinal Malrotation
Apendicitis aguda en paciente con malrotación intestinal
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Tamara Fernández-Miguel
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tamara.fdez.miguel@gmail.com

Corresponding author.
, Virginia García-Gutiérrez, Irene Osorio Silla, José Perea
Departamento de Cirugía, Hospital Universitario 12 de Octubre, Madrid, Spain
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A 49-year-old woman presented with pain in the lower abdomen and fever that had been developing over the previous 20h. On examination, pain was observed in the left iliac fossa and hypogastrium, without guarding. Lab work showed leukocytosis with neutrophilia and elevated acute phase reactants. Abdominal ultrasound was ordered, but the appendix was not observed. Computed tomography demonstrated the small intestine in the right hemiabdomen and the large intestine in the left hemiabdomen (Fig. 1), with the pelvic cecum (2) and anterior appendix (1) showing signs that were compatible with acute appendicitis (Fig. 2). Laparoscopic appendectomy was performed. The patient progressed satisfactorily and was discharged on the following day.

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Fig. 2
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Please cite this article as: Fernández-Miguel T, García-Gutiérrez V, Osorio Silla I, Perea J. Apendicitis aguda en paciente con malrotación intestinal. Cir Esp. 2014;92:e47.

Copyright © 2014. AEC
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