TITLE:
Situs Inversus Totalis with Left-Sided Appendicitis: A Case Report
AUTHORS:
Mohsen Kamel Arid
KEYWORDS:
Left Lower Quadrant Pain, Left-Sided Appendicitis (LSAA), Midgut Malrotation (MM), Situs Inversus Totalis (SIT)
JOURNAL NAME:
Open Journal of Clinical Diagnostics,
Vol.10 No.4,
December
30,
2020
ABSTRACT: Introduction: Left-sided acute appendicitis (LSAA) develops in association with two
types of congenital anomalies: situs inversus totalis (SIT) and midgut
malrotation (MM). A Left sided appendicitis is an ambiguous and difficult
diagnosis to make. Aim: To present a proven case of left-sided acute
appendicitis (LSAA) associated with situs inversus totalis (SIT). Case Report: A case of Left appendicitis was evaluated in a 28-year-old Asian male, who
presented to our hospital in Feb. 2016,
with lower abdominal pain more on left side and suspected diverticulitis or
acute appendicitis with unusual appendix location. The patient doesn’t recall
any history of abdominal surgery or about situs inversus totalis, abdominal and
pelvic ultrasound was done, left iliac fossa appendicitis was diagnosed, Erect
chest X-ray including upper abdomen revealed dextrocardia and stomach air on
right side (situs inversus totalis), the patient underwent diagnostic Laproscop
and Endoscopic resection of the appendix, with no incidents, and then
discharged without complications, follow visits went unremarkable. Conclusion: The diagnosis of left lower quadrant pain is based on well-established
clinical symptoms, physical examination and physician’s experience.