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Left-Sided Acute Appendicitis in a Patient With Situs Inversus Totalis
Hussain A Abdulla1, Asma Alqaseer1, Mohamed A Abushwemeh1
1Surgery, Salmaniya Medical Complex, Manama, BHR.
Left lower quadrant abdominal pain is rare for acute appendicitis. This case highlights a patient with situs inversus totalis presenting with left-sided appendicitis, successfully treated with laparoscopic appendectomy.
Area of Science:
- Medical Case Reports
- Surgical Gastroenterology
- Diagnostic Imaging
Background:
- Acute appendicitis is a common surgical emergency.
- Left-sided abdominal pain is an atypical presentation for appendicitis.
- Situs inversus totalis is a rare congenital condition where major visceral organs are reversed.
Observation:
- A 65-year-old male presented with left lower quadrant abdominal pain.
- Incidental finding of situs inversus totalis was noted.
- Computed tomography (CT) scan confirmed left-sided acute appendicitis.
Findings:
- The patient's symptoms were consistent with a left-sided appendix.
- Laparoscopic appendectomy was performed for the acute appendicitis.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case underscores the importance of considering anatomical variations in atypical presentations.
- Accurate diagnosis of left-sided appendicitis in situs inversus totalis is crucial for timely surgical intervention.
- Laparoscopic appendectomy is a safe and effective treatment option even in complex anatomical scenarios.
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