Acute subumbilical appendicitis in a patient undiagnosed with intestinal malrotation: a case report.

ABSTRACT:

Introduction

Acute appendicitis in the presence of intestinal malrotation is an uncommon and distinctive clinical condition. Herein, we present a rare case of subumbilical appendicitis resulting from previously undiagnosed intestinal malrotation.

Case presentation

A 16-year-old Saudi Arab man with no known chronic illness presented with acute suprapubic abdominal pain accompanied by nausea and vomiting. The pain was gradual in onset, dull, nonradiating, and initially localized to the epigastric area before extending to the suprapubic region. The patient denied any history of bowel habit changes, urological symptoms, or prior abdominal surgeries. On physical examination, tenderness was noted over the epigastric and suprapubic regions. Contrast-enhanced abdominal computed tomo

SUBMITTER: Basehi MF 

PROVIDER: S-EPMC12584442 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature