Left-Sided Presentation of Acute Appendicitis in a Patient With Situs Inversus Totalis

Situs inversus totalis (SIT) is a rare condition characterized by mirror-image reversal of the thoracoabdominal organs. Although appendiceal pain is typically located in the right lower quadrant, in SIT, this can occur in the left lower quadrant. We present a case of a 40-year-old male with no medic...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e40839
Main Authors: Sous, Bassem, Raidah, Anisa, Syed, Faiz, Jaramillo, Nolberto, Olafisoye, Toluwumi, Olsen, Dean
Format: Article
Language:English
Subjects:
Abdomen
Appendicitis
Appendix
Case reports
Diverticulitis
Dyskinesia
Emergency medical care
Emergency Medicine
General Surgery
Genetics
Laparoscopy
Medical diagnosis
Medical imaging
Pain
Pathology
Patients
Surgery
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Description
Summary:Situs inversus totalis (SIT) is a rare condition characterized by mirror-image reversal of the thoracoabdominal organs. Although appendiceal pain is typically located in the right lower quadrant, in SIT, this can occur in the left lower quadrant. We present a case of a 40-year-old male with no medical history who complained of acute left lower quadrant pain, nausea, and vomiting with no other symptoms. A computed tomography scan revealed SIT and left-sided acute appendicitis (LSAA), which was managed surgically. This case highlights the importance of including appendicitis in the differential diagnosis for left lower quadrant pain.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40839