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Incidental Malrotation and Acute Appendicitis

Palacios III, MD RGPIM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Incidental Malrotation and Acute Appendicitis

History: 67 year old male presents to the ED with acute onset of lower abdominal pain associated with fever, nausea and vomiting.

Findings: Contrast enhanced axial CT images of the abdomen demonstrates the presence of a "whirlpool sign" - inversion of the superior mesenteric vessels - all of the small bowel loops on the right, left-sided colon, and inflamatory changes within the appendix consistent with phlegmon.

Ddx: Malrotation Diverticulitis Acute Appendicitis Mesenteric Adenitis Infectious Enteritis Atypical cholecystitis

Dxhow: CT imaging and surgical removal of inflamed appendix.

Exam: Rebound tenderness with palpation of abdomen and associated guarding. Fever 103 F WBC 17,000

No MeSH data available.


IV contrast enhanced CT images through the abdomen demonstrates a midline cecum and appendix associated with fat stranding, bowel wall thickening, and luminal dialation.
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MPX1139_synpic18562: IV contrast enhanced CT images through the abdomen demonstrates a midline cecum and appendix associated with fat stranding, bowel wall thickening, and luminal dialation.


Incidental Malrotation and Acute Appendicitis

Palacios III, MD RGPIM - MedPix

IV contrast enhanced CT images through the abdomen demonstrates a midline cecum and appendix associated with fat stranding, bowel wall thickening, and luminal dialation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1139&req=5

MPX1139_synpic18562: IV contrast enhanced CT images through the abdomen demonstrates a midline cecum and appendix associated with fat stranding, bowel wall thickening, and luminal dialation.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Incidental Malrotation and Acute Appendicitis

History: 67 year old male presents to the ED with acute onset of lower abdominal pain associated with fever, nausea and vomiting.

Findings: Contrast enhanced axial CT images of the abdomen demonstrates the presence of a "whirlpool sign" - inversion of the superior mesenteric vessels - all of the small bowel loops on the right, left-sided colon, and inflamatory changes within the appendix consistent with phlegmon.

Ddx: Malrotation Diverticulitis Acute Appendicitis Mesenteric Adenitis Infectious Enteritis Atypical cholecystitis

Dxhow: CT imaging and surgical removal of inflamed appendix.

Exam: Rebound tenderness with palpation of abdomen and associated guarding. Fever 103 F WBC 17,000

No MeSH data available.