Single-incision laparoscopic appendectomy for treating appendicitis in a patient with gastrointestinal malrotation

Tomoya Tsukada; Masahide Kaji; Yuki Higashi; Shiro Terai; Koji Amaya; Koichi Shimizu

doi:10.1016/j.ijscr.2014.06.017

Single-incision laparoscopic appendectomy for treating appendicitis in a patient with gastrointestinal malrotation

Int J Surg Case Rep. 2014;5(8):558-61. doi: 10.1016/j.ijscr.2014.06.017. Epub 2014 Jun 30.

Authors

Tomoya Tsukada¹, Masahide Kaji², Yuki Higashi², Shiro Terai², Koji Amaya², Koichi Shimizu²

Affiliations

¹ Department of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, Japan; Department of Gastroenterologic Surgery, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: [email protected].
² Department of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, Japan.

Abstract

Introduction: Intestinal malrotation is a rare congenital anomaly, and acute appendicitis associated with intestinal malrotation is extremely rare. PRESENTATION OF CASE We report a rare case of a 47-year-old Japanese woman diagnosed with barium-related perforated appendicitis associated with intestinal malrotation. We used a transumbilical single-incision laparoscopic approach to resect the appendix, and the procedure was completed successfully without perioperative complications.

Discussion: To our knowledge, single-incision laparoscopic surgery for appendicitis associated with intestinal malrotation has not been reported yet. In cases with mobile cecum such as this one, mobilization from inflammatory adhesion of the surrounding structures is easy.

Conclusion: We conclude that transumbilical single-incision laparoscopic appendectomy is a simple and less invasive method for treating appendicitis associated with intestinal malrotation.

Keywords: Appendectomy; Appendicitis; Laparoscopy; Malrotation; Single-incision; Transumbilical.