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Appendicitis-I: Introduction01:22

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Related Experiment Video

Updated: Nov 11, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Left-sided appendicitis due to situs inversus totalis.

Yuki Otsuka1,2, Ruiko Hayashi2, Shinichi Urano3

  • 1Department of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.

Clinical Case Reports
|March 26, 2021
PubMed
Summary

Situs inversus can present as acute abdomen pain, especially in elderly patients. Careful diagnosis using imaging studies is crucial to determine the true cause of abdominal pain.

Keywords:
appendicitisdiagnosisimagesitus inversus totalis

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Area of Science:

  • Medical diagnostics
  • Surgical pathology

Background:

  • Situs inversus is a rare congenital condition where major visceral organs are reversed.
  • Abdominal pain is a common presenting symptom in emergency medicine.
  • Misdiagnosis of acute abdomen can lead to delayed or incorrect treatment.

Purpose of the Study:

  • To highlight the diagnostic challenge posed by situs inversus in patients presenting with acute abdomen.
  • To emphasize the importance of considering anatomical variations in diagnosing abdominal pain.
  • To advocate for the judicious use of imaging in evaluating acute abdominal conditions.

Main Methods:

  • Retrospective chart review.
  • Case study analysis.
  • Review of diagnostic imaging modalities.

Main Results:

  • Situs inversus can present with symptoms mimicking various acute abdominal conditions.
  • Delayed diagnosis in patients with situs inversus may occur due to atypical pain presentation.
  • Imaging studies are essential for accurate diagnosis in suspected cases.

Conclusions:

  • Physicians must maintain a high index of suspicion for situs inversus in patients with unusual abdominal pain presentations.
  • Integrating clinical findings with imaging is critical for accurate diagnosis of acute abdomen in situs inversus.
  • Early and accurate diagnosis improves patient outcomes by enabling timely and appropriate surgical or medical management.