Revista de la Facultad de Medicina Humana

English Title

Acute appendicitis in intestinal malrotation. Case report.


Apendicitis aguda, Malrotación intestinal

English Keywords

Acute appendicitis, Intestinal malrotation


La malrotación intestinal es una anormalidad congénita de la rotación embriológica del intestino, se estima que más del 90% de pacientes con malrotación intestinal se presentará en los primeros 12 meses de vida. La presentación clínica en adultos se manifiesta de forma progresiva que ocurre generalmente durante el periodo postprandial, presentándose: vómitos intermitentes, dolor abdominal, pérdida de peso, diarrea crónica, peritonitis, intolerancia alimentaria, entre otros.

English Abstract

Intestinal malrotation is a congenital abnormality of the embryological rotation of the intestine, it is estimated that more than 90% of patients with intestinal malrotation will be presented in the first 12 months of life. The clinical presentation in adults is manifested in a progressive way that usually occurs during the postprandial period, presenting: intermittent vomiting, abdominal pain, weight loss, chronic diarrhea, peritonitis, food intolerance, among Another. Treatment will depend on presentation, either acute or chronic, requiring emergency laparotomy to determine the cause. There is a case of acute surgical abdomen for acute appendicitis in a 27-year-old patient with intestinal malrotation, with initial clinical presentation of severe abdominal pain, diarrhea, positive lumbar percussion fist, which finally reached a Proper resolution and a good prognosis.



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