Case 2, Abdominal Anomaly or Pathology         (Return to Case List)
The patient has received both intravascular and oral contrast. Look at this movie frame by frame. What's odd about this person? The answer will be revealed when you click on the drop-down arrow.



This is a case of malrotation of the midgut. The entire colon is on the left side of the abdomen. The bowel seen on the patient's right side is small intestine. As a result of the malrotation, the SMA is to the right of the SMV, which is the opposite of their normal relationship. The patient presented with pain in the lower left quadrant, which the attending radiologist thought was due to a left-sided appendicitis. I have labelled what I believe is the inflamed appendix.