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Left-sided perforated appendicitis in a patient with situs inversus totalis, a case report.


ABSTRACT: Situs inversus, an uncommon disorder, causes the orientation of asymmetric organs to be opposite to that of normal anatomy. It can be either partial, affecting only the thoracic or abdominal cavities, or full, involving the transposition of both the thoracic and abdominal organs. A 31-year-old Ethiopian male patient presented with migratory abdominal pain in the left lower quadrant for 3 days. Associated with the pain, he experienced symptoms of nausea, vomiting of ingested matter, and loss of appetite. Investigations were consistent with left-sided appendicitis with situs inversus totalis. Therefore, the patient was operated on and discharged with no perioperative complications. Appendicitis is a rare cause of left lower quadrant pain. In order to reduce the delay in patient treatment and avoidable perioperative complications, emergency physicians, radiologists, and surgeons must become more knowledgeable about situs inversus and left side appendicitis.

SUBMITTER: Abebe WM 

PROVIDER: S-EPMC11307355 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature

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Left-sided perforated appendicitis in a patient with situs inversus totalis, a case report.

Abebe Wondu Mekonnen WM   Workalemahu Deribe Mekonnen DM   Leta Robera Amenu RA   Asefa Mezgebu Alemnah MA   Alemu Hirut Tesfahun HT   Molla Yohannis Derbew YD  

SAGE open medical case reports 20240807


Situs inversus, an uncommon disorder, causes the orientation of asymmetric organs to be opposite to that of normal anatomy. It can be either partial, affecting only the thoracic or abdominal cavities, or full, involving the transposition of both the thoracic and abdominal organs. A 31-year-old Ethiopian male patient presented with migratory abdominal pain in the left lower quadrant for 3 days. Associated with the pain, he experienced symptoms of nausea, vomiting of ingested matter, and loss of a  ...[more]

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