Acute appendicitis is a common abdominal condition requiring emergency surgery. The typical manifestation is a peritoneal irritation in the lower-right quadrant of abdomen. However, this clinical presentation varies depending on the location of the appendix. Herein, we report a case of a left appendicitis on midgut malrotation in a 43-year-old obese patient with malformative and multi-operated uropathy; admitted with abdominal pain in the lower-left quadrant of the abdomen. No fever, no

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... . The clinical examination revealed a peritoneal irritation in the left iliac fossa. The laboratory examination yieled an inflammatory syndrome and renal failure. An abdominal CT scan was performed and revealed a left iliac appendicitis on a complete common mesentery. An appendectomy was performed by laparotomy with left Jalaguier approach. The post-operative status was simple. Appendicitis on complete common mesentery is rare. The diagnosis is based on the abdominal CT scan. The treatment is the appendectomy ideally through laparoscopy.