Acute appendicitis in the context of undescended cecum: laparoscopic management with restoration of the orthotopic anatomy

Abstract

Undescended cecum is a rare congenital abnormality; upon development of acute appendicitis though, the high position of the cecum results in atypical clinical symptomatology. We present a rare case of appendicitis in a patient with undescended cecum, which we managed laparoscopically, combining the appendicectomy with orthotopic repositioning of the cecum. Key words: laparoscopy, malrotation, undescended cecum, emergency, surgery