Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Acute Left-sided Appendicitis with Intestinal Malrotation in a Child

장회전 이상을 동반한 좌복부 급성 충수염

  • Jun, Hak-Hoon (Division of Pediatric Surgery, Pochun CHA University Medical College) ;
  • Son, Suk-Woo (Division of Pediatric Surgery, Pochun CHA University Medical College)
  • 전학훈 (중문의과대학교 의과대학 외과학교실) ;
  • 손석우 (중문의과대학교 의과대학 외과학교실)
  • Received : 2006.08.01
  • Accepted : 2006.10.31
  • Published : 2006.12.31
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Abstract

Appendicitis is a common disease in children. But left lower abdominal pain in acute appendicitis is a rare clinical feature. A 6 year-old-girl complained of left sided abdominal pain for 2 days. Past medical history was not contributory. Abdominal tenderness and guarding in left lower quadrant were noticed. Abdominal sonography and abdominal computed tomography scan demonstrated reversed position between superior mesenteric artery and vein, and a mass in the left lower quadrant abdomen suggesting appendicitis. Acute appendicitis in left lower quadrant, associated with intestinal malrotation, was found at laparatomy.

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