Subhepatic perforated acute appendicitis in a patient with midgut malrotation: A case report and review of the literature

Evola, Giuseppe; Lanaia, Andrea; Cantella, Roberto; Fidio, Cristina Di; Fede, Giovanni Francesco Di; Piazza, Luigi

doi:10.1016/j.ijscr.2022.107249

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…There have been instances of patients presenting with atypical abdominal pain who were later diagnosed as asymptomatic cases of malrotated bowel with acute appendicitis. [ 7 , 8 ] As a result, the removal of the appendix has been generally advocated to prevent the future development of appendicitis.…”

Section: Discussionmentioning

confidence: 99%

An International Consensus Survey among Pediatric Surgeons on the Role of Appendectomy in Malrotation

Menon,

Rathod,

Sinha

et al. 2024

Journal of Indian Association of Pediatric Surgeons

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Introduction: Ladd’s procedure, originally described in 1936 for the treatment of malrotation, does not traditionally include appendectomy as a standard step. We conducted a multinational survey to investigate the current consensus on the role of appendectomy in Ladd’s procedure. Methodology: An anonymous online survey was distributed to pediatric surgeons worldwide. The survey collected demographic data and explored surgical preferences related to the management of malrotation. Open-ended questions were used to assess the opinions regarding the necessity of appendectomy, decision-making factors, and complications associated with appendectomy during Ladd’s procedure. Results: A total of 343 responses were received from 46 countries. Of the respondents, 319 (93%) were consultants and 24 (7%) were residents/trainees. When asked about the choice between open and laparoscopic Ladd’s procedure, 292 (85%) preferred open surgery. Overall, 184 (53%) respondents favored appendectomy in both open and laparoscopic Ladd’s procedure. Furthermore, 172 (50%) surgeons advocated for appendectomy in all malrotation cases, citing concerns about potential future appendicitis. While differences existed between all comparisons, none of them reached statistical significance. The factors influencing the decision to preserve the appendix included the risk of postoperative complications and the potential future use of the appendix as a surgical conduit. The surgical complications following appendectomy included surgical site infections in 14 (33%) patients, adhesive obstruction in 13 (31%) patients, intrabdominal abscesses in 10 (24%) patients, and fecal fistulas in 5 (12%) patients. Conclusion: The majority of surgeons aim to perform appendectomy in all malrotation cases, considering the potential risks and benefits of this approach. These findings offer valuable insights for clinical practice and may inform future guidelines and decision-making algorithms.

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Section: Discussionmentioning

confidence: 99%

An International Consensus Survey among Pediatric Surgeons on the Role of Appendectomy in Malrotation

Menon,

Rathod,

Sinha

et al. 2024

Journal of Indian Association of Pediatric Surgeons

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“…AD is usually overlooked because of its rarity and resemblance to other ileocecal diseases (CD and AA) [ 12 , 13 ]. Clinical presentation: although AD presents with similar symptoms and signs to AA [ [14] , [15] , [16] ], some differences have been observed. Compared to AA clinical presentation AD has a longer duration of pain (1–14 days), a greater presence of RLQ abdominal pain, a lower frequency of nausea and vomiting and it develops mainly in adults [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Complicated appendiceal diverticulitis a extremely rare cause of acute abdomen: A case report and literature review

Evola

Pulvirenti

et al. 2023

International Journal of Surgery Case Reports

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“…In the medical literature, the diagnosis and treatment of acute appendicitis in a properly positioned appendix are well established, with only 50 % exhibiting the traditional presentation [13] . Approximately one-third of patients with acute appendicitis report abdominal discomfort in an unexpected region owing to different anatomical positions of the appendix [14] . The aberrant position of the appendix in the upper right quadrant may mimic other hepatobiliary or gastric diseases, including acute cholecystitis, liver abscess, acute pancreatitis, and intestinal perforation/obstruction.…”

Section: Discussionmentioning

confidence: 99%

Hidden appendix: A case report and literature review of perforated acute appendicitis masquerading as acute cholecystitis

Ashwini

Varun

Saravanan

et al. 2022

International Journal of Surgery Case Reports

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Subhepatic perforated acute appendicitis in a patient with midgut malrotation: A case report and review of the literature

Cited by 4 publications

References 17 publications

An International Consensus Survey among Pediatric Surgeons on the Role of Appendectomy in Malrotation

An International Consensus Survey among Pediatric Surgeons on the Role of Appendectomy in Malrotation

Complicated appendiceal diverticulitis a extremely rare cause of acute abdomen: A case report and literature review

Hidden appendix: A case report and literature review of perforated acute appendicitis masquerading as acute cholecystitis

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