Pitfall of Diagnosis Left-Sided Appendicitis Due to Undiagnosed Intestinal Malrotation in Adulthood – a Rare Case Report from Syria and Literature Review

Ahmad Yousef,1 Mais Alreem Basel Mohaisen,2 Omar Tassabehji,2 Mohammad Atia,3 Mohammad Moaz Saleh,2 Mohammad Ihab Saleh,4 Muataz Aasi1 1Department of General Surgery, Al-Rashid Hospital, Damascus, Syrian Arab Republic; 2Faculty of Medicine, Al-Sham Private University, Damascus, Syrian Arab Republic; 3Department of Gastroenterology, Al-Moujtahed Hospital, Damascus, Syrian Arab Republic; 4Department of Orthopedics, Al-Zabadani Hospital, Damascus, Syrian Arab RepublicCorrespondence: Ahmad Yousef, Department of General Surgery, Al-Rashid Hospital, Damascus, Syrian Arab Republic, Tel +963932044578, Email [email protected]: Intestinal malrotation, which affects 0.03 to 0.5% of newborns, can induce rare left-sided appendicitis and also go undetected until adulthood because of its unusual clinical signs. Even while it frequently occurs with other congenital defects, it can also manifest in adulthood as a separate abnormality. In this case report, we report on a 33-year-old female patient who has left-sided appendicitis because of intestinal malrotation, an uncommon and challenging illness for which early identification and treatment are essential for a successful outcome.Keywords: appendectomy, intestinal malrotation, left-sided appendicitis, case report