Al- Anbar Medical Journal

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

Document Type : Case reports

Authors

1 Department of Surgery, Al-Muqdadiya General Hospital, Diala Health Directorate, Diala, Iraq.

2 Department of Radiology, Al-Zahraa General Hospital, Diala Health Directorate, Diala, Iraq.

Abstract

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

Keywords

Main Subjects

References
[1]      H. E. Sammalkorpi, P. Mentula, and A. Leppäniemi, “A new adult appendicitis score improves diagnostic accuracy of acute appendicitis-a prospective study,” BMC Gastroenterol., vol. 14, no. 1, pp. 1–7, 2014.
[2]      A. H. Kadhem, S. Y. Khalid, and W. H. Al-Sewadi, “The accuracy of abdominal ultrasonography in the diagnosis of acute appendicitis,” Basrah J. Surg., vol. 26, no. 1, pp. 61–64, 2020.
[3]      M. M. Hassan, “Appendiceal infection by Entamoeba histolytica presenting like acute appendicits,” Al-Anbar Med. J., vol. 6, no. 1, 2008.
[4]      M. H. Al-Hawaz, M. A. Abdulla, and H. D. Ali, “THE ADVANTAGE OF ACUTE INFLAMMATORY MARKERS IN DIAGNOSIS OF ACUTE APPENDICITIS,” Basrah J. Surg., vol. 24, no. 2, pp. 8–13, 2018.
[5]      G. Di Buono, E. Maienza, S. Buscemi, B. Randisi, G. Romano, and A. Agrusa, “Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review,” Int. J. Surg. Case Rep., 2020.
[6]      J. S. Oh, K. W. Kim, and H. J. Cho, “Left-sided appendicitis in a patient with situs inversus totalis,” J. Korean Surg. Soc., vol. 83, no. 3, p. 175, 2012.
[7]      A. Q. Maggio, A. M. Reece-Smith, T. Y. Tang, U. Sadat, and S. R. Walsh, “Early laparoscopy versus active observation in acute abdominal pain: systematic review and meta-analysis,” Int. J. Surg., vol. 6, no. 5, pp. 400–403, 2008.
[8]      E. Karagülle, E. Türk, E. Yildirim, and G. Moray, “A rare cause of left lower quadrant abdominal pain: acute appendicitis with situs inversus totalis,” Ulus. travma ve acil cerrahi dergisi= Turkish J. trauma Emerg. Surg. TJTES, vol. 16, no. 3, pp. 268–270, 2010.
[9]      S. Akbulut, A. Caliskan, A. Ekin, and Y. Yagmur, “Left-sided acute appendicitis with situs inversus totalis: review of 63 published cases and report of two cases,” J. Gastrointest. Surg., vol. 14, no. 9, pp. 1422–1428, 2010.
[10]    E. Zengin, A. Turan, A. S. Calapoğlu, E. Nalbant, and G. Altuntaş, “Intestinal nonrotation and left-sided perforated appendicitis,” Ulus Travma Acil Cerrahi Derg, vol. 24, no. 2, pp. 178–180, 2018.
[11]    R. B. Patel, K. Bhadreshwara, and S. Hukkeri, “Laparoscopic appendicectomy in a patient with situs inversus totalis,” Indian J. Surg., vol. 75, no. 1, pp. 41–43, 2013.
[12]    G. Cucinella et al., “Endometrial cancer: robotic versus laparoscopic treatment. Preliminary report,” 2015.
[13]    G. Cucinella et al., “Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study,” G. Chir., vol. 37, no. 3, p. 113, 2016.
[14]    K. A. Carmichael and W. E. Gayle Jr, “Situs inversus and appendicitis.,” South. Med. J., vol. 72, no. 9, pp. 1147–1150, 1979.
[15]    S. Alazzawi, W. S. De Rover, G. Morris-Stiff, and M. H. Lewis, “Erect chest radiography in the setting of the acute abdomen: essential tool or an unnecessary waste of resources?,” Ann. R. Coll. Surg. Engl., vol. 92, no. 8, pp. 697–699, 2010.
[16]    A. A. Singla et al., “Unusual presentation of left sided acute appendicitis in elderly male with asymptomatic midgut malrotation,” Int. J. Surg. Case Rep., vol. 17, pp. 42–44, 2015.
[17]    A. E. Ucar, E. Ergul, R. Aydin, Y. M. Ozgun, and B. Korukluoglu, “Left-sided acute appendicitis with situs inversus totalis,” Internet J Surg, vol. 12, no. 2, p. 9, 2007.
[18]    S. M. Channabasappa, H. S. Mohan, and J. Sarma, “A patient with situs inversus totalis presenting for emergency laparoscopic appendectomy: Consideration for safe anesthetic management,” Anesth. essays Res., vol. 7, no. 1, p. 127, 2013.
[19]    Y. Liu et al., “Delayed diagnosis of abdominal pain in patient with situs inversus totalis in emergency department: A case report,” Medicine (Baltimore)., vol. 96, no. 49, 2017.
[20]    Y. Liu, Z. Cui, and R. Zhang, “Laparoscopic versus open appendectomy for acute appendicitis in children,” Indian Pediatr., vol. 54, no. 11, pp. 938–941, 2017.
Al- Anbar Medical Journal
Volume 17, Issue 2
December 2021
Page 78-80
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