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Clinical Images. An unusual case of appendicitis
Warren R Perera1, Oliver F Hennessy
1Medical Imaging Department, St Vincent's Hospital, PO Box 2900, Fitzroy, Victoria 3065, Australia. warrenperera@hotmail.com
Abstract:
Situs inversus may be identified as an incidental finding when investigating abdominal pain in the acute emergency setting. We report a case of a 46-year-old man who presented with left-sided acute appendicitis on a background of situs inversus. The clinical presentation was left lower-quadrant pain. Clinically, the diagnosis of diverticulitis was made until review of plain-film imaging raised the possibility of situs inversus, and thus appendicitis. Cross-sectional imaging studies and laparoscopy confirmed the diagnosis of acute left-sided appendicitis. He underwent laparoscopic appendectomy with an uncomplicated postoperative course.
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