Aim: Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intra-peritoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of that. Case presentation: We present a case of 37 years old male patient presented to our emergency room (ER) with a history of left acute lower abdominal pain and vomiting since 3 days with a known history of situs invertus totalis. Subsequent laboratory and imaging studies confirmed the diagnosis of situs inversus and acute left- sided appendicitis. The patient underwent an operative laparoscopy, which revealed appendicular and periappendicular adhesions involving the cecum. Where laparoscopic appendectomy were performed. Conclusion: The laparoscopic approach to an appendectomy is ideal in a patient with situs inversus.
Hassan, A., El Sabagh, A., & Helmy, A. H. (2008). LAPAROSCOPIC MANAGEMENT OF ACUTE APPENDICITIS IN SITUS INVERSUS TOTALIS. The Egyptian Journal of Surgery, 27(4), 213-215. doi: 10.21608/ejsur.2008.369668
MLA
A. Abdelaziz Hassan; Abdalla El Sabagh; A. Hazem Helmy. "LAPAROSCOPIC MANAGEMENT OF ACUTE APPENDICITIS IN SITUS INVERSUS TOTALIS", The Egyptian Journal of Surgery, 27, 4, 2008, 213-215. doi: 10.21608/ejsur.2008.369668
HARVARD
Hassan, A., El Sabagh, A., Helmy, A. H. (2008). 'LAPAROSCOPIC MANAGEMENT OF ACUTE APPENDICITIS IN SITUS INVERSUS TOTALIS', The Egyptian Journal of Surgery, 27(4), pp. 213-215. doi: 10.21608/ejsur.2008.369668
VANCOUVER
Hassan, A., El Sabagh, A., Helmy, A. H. LAPAROSCOPIC MANAGEMENT OF ACUTE APPENDICITIS IN SITUS INVERSUS TOTALIS. The Egyptian Journal of Surgery, 2008; 27(4): 213-215. doi: 10.21608/ejsur.2008.369668