RESUMO
We present a case of 14-year girl with left-sided acute appendicitis who presented with lower abdominal pain. Midgut malrotation occurs at a rate of 1 in 500 live births. The condition is incidentally diagnosed during various radiological investigations done for other purposes. However, such patients may present with conditions like acute appendicitis, which poses a diagnostic dilemma if a high index of suspicion is not kept. The purpose of this case report is to increase awareness in the emergency physicians and young surgeons of this rare presentation; and the importance of radiological investigations in the diagnosis of left-sided appendicitis, to decrease morbidity and mortality.
Assuntos
Dor Abdominal/etiologia , Apendicite/complicações , Anormalidades do Sistema Digestório/diagnóstico por imagem , Volvo Intestinal/diagnóstico por imagem , Anormalidade Torcional/diagnóstico por imagem , Dor Abdominal/diagnóstico por imagem , Doença Aguda , Apendicite/diagnóstico por imagem , Apendicite/cirurgia , Apêndice/diagnóstico por imagem , Anormalidades do Sistema Digestório/complicações , Diverticulose Cólica/complicações , Serviço Hospitalar de Emergência , Feminino , Humanos , Volvo Intestinal/complicações , Volvo Intestinal/congênito , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Rectovaginal fistula following sexual intercourse is rarely reported. It is a social stigma; and without adequate treatment and social support, the patient may end-up in isolation. A thorough knowledge of the problem and management is essential for successful outcome. We report a case of low rectovaginal fistula in a newly married female managed trans-vaginally with prior defunctioning colostomy.
