PMC3889003_01
(a) Portal-venous phase computed tomography (CT) image. Superior mesenteric vein (arrow) is on the left side of the superior mesenteric artery (arrowhead); (b) Coronal multiplanar reformation (MPR) from portal-venous phase CT demonstrates a midgut malrotation. Superior mesenteric vein (black arrowhead) is on the left side of the superior mesenteric artery (white arrowhead). The entire small bowel (thin arrows) is in the left half of the abdomen and colon (thick arrows) is in the right half; (c) Coronal MPR from portal-venous phase CT demonstrates a acute upper left side appendicitis (arrows) with two stercoliths (arrowheads) and (d) Operative view with the entire small bowel in the right half of the abdomen and colon in the left half
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Contrast-enhanced abdominal computed tomography showed acute left side appendicitis with midgut malrotation [Figure 1a-c]. Treitz, moving the duodenum to the right, and finally returning the bowel to a position of nonrotation with the cecum placed into the left upper quadrant [Figure 1d]. The patient was discharged on the seventh postoperative day with no complication.