A Left-Sided Acute Appendicitis In A 20-Year-Old Male With Intestinal Malrotation: A Case Report Highlighting An Atypical Presentation Of Acute Abdomen
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Thamer Hamdan Alhamdan, Qussay Raed wazzan, Ahmed Khaled Alfitiani, Lujain Abdullah Alghamdi
Abstract
Intestinal malrotation is a rare congenital anomaly resulting from incomplete rotation of the midgut during embryologic development and often remains undiagnosed until complications occur. We report the case of a 20-year-old male who presented with atypical features of acute appendicitis, including central abdominal pain and left-sided abdominal tenderness. Computed tomography (CT) imaging revealed intestinal malrotation with a left-sided inflamed appendix. The patient underwent successful laparoscopic appendectomy without correction of the malrotation, as it was asymptomatic. This case highlights the importance of considering intestinal malrotation in patients presenting with atypical manifestations of acute appendicitis and underscores the pivotal role of timely imaging and minimally invasive surgical management in achieving favorable outcomes.
Keywords :
.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty