J Minim Access Surg. 2006 Dec;2(4):220-1. doi: 10.4103/0972-9941.28184.

Laparoscopic management of acute appendicitis in situs inversus.

Journal of minimal access surgery

Vishwanath Golash

PMID: 21234150 PMCID: PMC3016484 DOI: 10.4103/0972-9941.28184

Abstract

Situs inversus is often detected incidentally in adults during imaging for a acute surgical emergency. We present a case of acute appendicitis in an adult who was previously unaware about his situs anomaly. A laparoscopic approach is helpful to deal with this condition. A 40 year old man was admitted with history of acute left lower abdominal pain, with uncontrolled diabetic keto-acidosis. Clinically, he was diagnosed as acute diverticulitis with localized peritonitis. Subsequent imaging studies and laparoscopy confirmed the diagnosis of situs inversus and acute left- sided appendicitis.He successfully underwent laparoscopic appendectomy. His postoperative recovery was uneventful. Although technically more challenging because of the reverse laparoscopic view of the anatomy, the laparoscopic diagnosis and management of acute appendicitis is indicated in situs inversus.

Keywords: Laparoscopy; appendicitis; situs inversus

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Publication Types

• Case Reports