A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis



Acute appendicitis, Situs inversus totalis, Left lower quadrant pain, Computed tomography


Acute appendicitis is the most frequent disease requiring urgent surgery in the world. It may sometimes occur in atypical locations, such as the lower left quadrant of the abdomen. If previously unknown, some conditions such as situs inversus totalis make diagnosing acute appendicitis difficult. In those cases, surgeons primarily consider diverticulitis, gynecological diseases, or urinary pathologies, which present with lower left quadrant pain. Direct abdominal radiography, ultrasonography and computed tomography are the auxiliary imaging methods in the diagnosis of the disease. Dextrocardia and the observation of the gastric fundus gas in the right quadrant in direct abdominal radiograph are key features of situs inversus totalis. Considering the anatomical variation, laparoscopic exploration is recommended in these patients. We hereby present a forty-eight-year-old female patient with situs inversus totalis who was diagnosed with acute appendicitis.


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Case Report

How to Cite

Peksöz R, Yeni M, Dablan A, Dişçi E. A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis. J Surg Med [Internet]. 2019 Oct. 1 [cited 2024 Jun. 23];3(10):766-8. Available from: https://jsurgmed.com/article/view/570128