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

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.

Keywords:

Situs inversus totalis

Acute abdomen

Acute appendicitis

Left-sided acute appendicitis

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