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Updated: May 4, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

[Situs inversus totalis].

Veronica Navarro¹, Harumi Oshiro¹, Bruce Peña¹

¹Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.

Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru

|January 15, 2014

Summary

Situs inversus totalis (SIT) presents diagnostic challenges, often mimicking other conditions like diverticulitis. This case highlights the importance of considering appendicitis in SIT patients to ensure accurate diagnosis and treatment.

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Area of Science:

Medical Case Study
Surgical Diagnosis
Rare Diseases

Background:

Situs inversus totalis (SIT) is a rare congenital condition characterized by mirror-image transposition of thoracic and abdominal organs.
Appendicitis symptoms in SIT patients can be atypical and easily misdiagnosed as other intra-abdominal pathologies, such as diverticulitis.

Observation:

A 65-year-old patient presented with epigastric pain migrating to the left iliac fossa, accompanied by hyporexia.
Initial diagnosis favored diverticulitis based on symptom presentation.

Findings:

Imaging studies revealed situs inversus totalis, with the appendix located in the left iliac fossa.
The patient's presentation was ultimately attributed to appendicitis, not diverticulitis.

Implications:

Accurate medical history and physical examination are crucial for diagnosing appendicitis in SIT patients.
Imaging modalities are essential for identifying anatomical variations and confirming appendicitis in the differential diagnosis.
Early and correct diagnosis of appendicitis in SIT prevents treatment delays and potential complications.