PMC5883838_01
Abdominal computed tomography reveals a thickened, inflamed appendix with fecalith images near the cecum in the left iliac fossa (arrow) (a) and the small bowel located entirely on the right side of the abdomen (arrow) (b) the superior mesenteric artery is on the left side of the superior mesenteric vein (circle) (b and c)
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F1
Abdominal computed tomography (CT) revealed a thickened, inflamed appendix with fecalith images in the LIF and some features compatible with midgut malrotation [Figure 1].
A normal appendix and inflamed cecum located in the left iliac fossa (a) and the resected specimen showing ruptured cecal diverticulitis (b) cephalic direction (arrow)
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F2
An emergency laparotomy performed through a midline incision confirmed midgut malrotation with the small bowel located on the right side of abdomen and ruptured cecal diverticulitis with abscess formation in the LIF [Figure 2].
A radiograph obtained with water soluble contrast in the upper gastrointestinal tract shows the abnormal position of the duodenojejunal junction (arrow) and small bowel dilatation on the right side of the abdomen with delayed contrast passage
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F3
The patient developed obstructive symptoms on the 5th postoperative day, and an upper gastrointestinal (GI) series showed an abnormal position of the duodenojejunal (DJ) junction and small bowel dilatation on the right side of the abdomen with delayed contrast passage [Figure 3].