Print ISSN: 2706-6207

Online ISSN: 2664-3154

Keywords : Acute abdomen

Acute Appendicitis in Situs Inversus Totalis: A Case Report and Review of Literature

Ali Mahdi Al-Tamim .; Sami M. Al-Rubaye .; Mansoor Idan Al-Zubaidi .

Al- Anbar Medical Journal, 2021, Volume 17, Issue 2, Pages 78-80
DOI: 10.33091/amj.2022.171075

Acute appendicitis is the most common surgical condition seen in the emergency unit. In mostcases, the diagnosis is straightforward, but sometimes it is not easy as it may be presented in anatypical manner like unusual pain in the left iliac fossa. A 10-years-old boy was presented with anacute abdomen started in the periumbilical area and thereafter, shifted to the left iliac fossa. ChestX-ray and abdominal CT scan was confirmed the diagnosis of acute appendicitis with situs inversustotalis (SIT). Conventional appendectomy was performed with a good outcome. In addition to thedetailed history and proper examination, a high index of suspicion and radiological investigationsare mandatory to diagnose acute appendicitis in subjects with SIT.

Ingested Fishbone Results in Sigmoid Colon Perforation

Sami M Al-Rubaye

Al- Anbar Medical Journal, 2020, Volume 16, Issue 2, Pages 53-55

The unwitting swallowing of a foreign body is not uncommon and rarely causes perforation of anypart of the gastrointestinal tract. We have reported in this case of a 46-year-old man who presentedwith a clinical picture similar to a perforated peptic ulcer. At the laparotomy exploration, thecase was a perforation of the sigmoid colon by a fishbone (6 cm in length). The foreign object wasremoved and the perforated site was closed by the primary suturing. There were no postoperativecomplications. Although intestinal perforation due to an ingested foreign object is seldom to beseen, the surgeon must be aware of its occurrence and put it as one of the differential diagnosisin a case of an acute abdomen. A detailed history and computerized tomography (CT) scan areessential tools to detect intestinal foreign bodies in subjects with acute abdomen.