Left-Sided Presentation of Acute Appendicitis in a Patient With Situs Inversus Totalis

Situs inversus totalis (SIT) is a rare condition characterized by mirror-image reversal of the thoracoabdominal organs. Although appendiceal pain is typically located in the right lower quadrant, in SIT, this can occur in the left lower quadrant. We present a case of a 40-year-old male with no medic...

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Detalles Bibliográficos
Autores principales: Sous, Bassem, Raidah, Anisa, Syed, Faiz, Jaramillo, Nolberto, Olafisoye, Toluwumi, Olsen, Dean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10363649/
https://www.ncbi.nlm.nih.gov/pubmed/37492830
http://dx.doi.org/10.7759/cureus.40839
Descripción
Sumario:Situs inversus totalis (SIT) is a rare condition characterized by mirror-image reversal of the thoracoabdominal organs. Although appendiceal pain is typically located in the right lower quadrant, in SIT, this can occur in the left lower quadrant. We present a case of a 40-year-old male with no medical history who complained of acute left lower quadrant pain, nausea, and vomiting with no other symptoms. A computed tomography scan revealed SIT and left-sided acute appendicitis (LSAA), which was managed surgically. This case highlights the importance of including appendicitis in the differential diagnosis for left lower quadrant pain.

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