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Acute Appendicitis Presenting as Unusual Left Upper Quadrant Pain

AUTHORS

Tsung-Ju Chuang 1 , Chun-Wen Chen 2 , * , Hsin-Yuan Lin 3 , Wen-Hsiu Hsu 4 , Shou-Cheng Wang 1 , Chuan-Chou Tu 1

AUTHORS INFORMATION

1 Department of Internal Medicine, Armed Forces Taichung General Hospital, Taichung, Taiwan

2 Department of Radiology, Armed Forces Taichung General Hospital, Taichung, Taiwan

3 Department of Surgery, Armed Forces Taichung General Hospital, Taichung, Taiwan

4 Department of Gastroenterology & Hepatology, Armed Forces Taichung General Hospital, Taichung, Taiwan

ARTICLE INFORMATION

Iranian Journal of Radiology: 10 (3); 156-159
Published Online: August 29, 2013
Article Type: Case Report
Received: May 12, 2012
Accepted: May 27, 2013
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Abstract

Appendicitis is the most common abdominal disease that requires surgery in the emergency ward. It usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (LUQ) pain due to congenital anatomical abnormalities of the intestine. We report a patient who complained of persistent LUQ abdominal pain and was finally diagnosed by computed tomography (CT) as congenital intestinal malrotation complicated with acute appendicitis. It is important to include acute appendicitis in the differential diagnosis of patients who complain of LUQ abdominal pain. Abdominal CT can provide significant information that is useful in preoperative diagnosis and determination of proper treatment.

Keywords

Appendicitis Intestinal Malrotation, Familial Abdomen, Acute Abdominal Pain

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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