A Left-Sided Acute Appendicitis In A 20-Year-Old Male With Intestinal Malrotation: A Case Report Highlighting An Atypical Presentation Of Acute Abdomen

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.