A complex case of acute abdomen
Dublin Core
Title
A complex case of acute abdomen
Subject
Appendectomy, Intestinal malrotation, Left-sided appendicitis, Pregnancy, Inflammatory bowel diseases,
Ustekinumab, Emergency medicine
Ustekinumab, Emergency medicine
Description
Abstract
Introduction Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with
underlying chronic gastrointestinal diseases.
Case report A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented
with diffuse abdominal pain. Initial investigations, including MRI and ultrasound, were inconclusive. Diagnostic
laparoscopy revealed malrotation of the large bowel and a perforated appendix, which was successfully managed
with appendectomy and lavage.
Conclusion This case highlights the diagnostic complexity of abdominal pain in early pregnancy, particularly in
patients with Crohn’s disease and anatomic variations such as intestinal malrotation.
Keywords Appendectomy, Intestinal malrotation, Left-sided appendicitis, Pregnancy, Inflammatory bowel diseases,
Ustekinumab, Emergency medicine
Introduction Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with
underlying chronic gastrointestinal diseases.
Case report A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented
with diffuse abdominal pain. Initial investigations, including MRI and ultrasound, were inconclusive. Diagnostic
laparoscopy revealed malrotation of the large bowel and a perforated appendix, which was successfully managed
with appendectomy and lavage.
Conclusion This case highlights the diagnostic complexity of abdominal pain in early pregnancy, particularly in
patients with Crohn’s disease and anatomic variations such as intestinal malrotation.
Keywords Appendectomy, Intestinal malrotation, Left-sided appendicitis, Pregnancy, Inflammatory bowel diseases,
Ustekinumab, Emergency medicine
Creator
Mohammed Khalid Alageel1,2*
Date
2025
Contributor
Peri Irawan
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Mohammed Khalid Alageel1,2*, “A complex case of acute abdomen,” Repository Horizon University Indonesia, accessed April 18, 2026, https://repository.horizon.ac.id/items/show/13250.