Acute appendicitis in patient with situs inversus totalis: a rare case of acute abdomen
Tuba Atak1, Süleyman Bozkurt2, Tamer Akay1, Halil Coşkun2
1İstanbul Medeniyet Üniversitesi Göztepe Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye
2Bezmi Alem Vakıf Üniversitesi Tıp Fakültesi Hastanesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye
Abstract
Abdominal pain is one of the most common complaints in patients presenting to the emergency department. In patients presenting with abdominal pain, appendicitis is the most common surgical disorder. Situs inversus totalis is a rare genetic anomaly characterised by the arrangement of the abdominal and thoracic organs in a perfect mirror image of their normal position. Transposition of the organs causes difficulty in the diagnosis and treatment of diseases related to the abdomen and thorax. In patients with abdominal pain, appendicitis is the most common surgical disorder. Left-sided appendicitis occurs in association with situs inversus and intestinal malrotation. In this report, we describe a rare case of left-sided appendicitis with situs inversus totalis.
Keywords: Acute appendicitis, situs inversus totalis, left lower quadrant pain