Uncomplicated acute appendicitis in situs inversus totalis. A case report
DOI:
https://doi.org/10.35434/rcmhnaaa.2022.154.1309Keywords:
Acute appendicitis, situs inversus totalis, laparoscopic appendectomyAbstract
Introduction: Situs inversus totalis is a rare congenital malformation, characterized by an inverted position of the thoracic and abdominal organs, negatively influencing the diagnostic approach and surgical treatment. Report: Acute appendicitis was diagnosed in a 28-year-old male patient who knew his anatomical abnormality and was corroborated with tomographic images and laparoscopic exploration. He was admitted to the emergency room with 30 hours of abdominal pain with onset in the epigastrium and subsequent radiation to the left iliac fossa. The tomography confirmed his condition of situs inversus totalis and pathological signs in localized appendicitis in FII; The laparoscopic intervention was performed without complications. Discusions: In patients with pain in the left lower quadrant, an adequate differential diagnosis is important and prior knowledge of an anatomical abnormality communicated in a timely manner, that makes feasible an adequate diagnosis and successful surgical resolution.
Downloads
Metrics
References
Rivera L. Situs inversus. Rev Soc Bol Pediatría. agosto de 2003;42(3):175-6.
Shogan PJ, Folio L. Situs inversus totalis. Mil Med. julio de 2011;176(7):840-3. https://doi.org/10.7205/milmed-d-11-00039
Mayo CW, Rice RG. Situs inversus totalis; a statistical review of data on 76 cases with special reference to disease of the biliary tract. Arch Surg Chic Ill 1920. mayo de 1949;58(5):724-30. https://doi.org/10.1001/archsurg.1949.01240030734014
Marta MJ, Falcão LM, Saavedra JA, Ravara L. A case of complete situs inversus. Rev Port Cardiol Orgao of Soc Port Cardiol Port J Cardiol Off J Port Soc Cardiol. enero de 2003;22(1):91-104.
Ponce KPM, Silva DFA, Bolaños HY. Situs Inversus Totalis: reporte de un caso. Horiz Enferm. 2014;(4):7-14. https://doi.org/10.32645/13906984.550
Arya SV, Das A, Singh S, Kalwaniya DS, Sharma A, Thukral BB. Technical difficulties and its remedies in laparoscopic cholecystectomy in situs inversus totalis: A rare case report. Int J Surg Case Rep. 6 de junio de 2013;4(8):727-30. https://doi.org/10.1016/j.ijscr.2013.05.012
Palanivelu C, Rangarajan M, John SJ, Senthilkumar R, Madhankumar MV. Laparoscopic appendectomy for appendicitis in uncommon situations: the advantages of a tailored approach. Singapore Med J. agosto de 2007;48(8):737-40.
Buono GD, Maienza E, Buscemi S, Randisi B, Romano G, Agrusa A. Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review. International Journal of Surgery Case Reports. 2020;77:S29-33. https://doi.org/10.1016/j.ijscr.2020.10.047
Ceresoli M, Zucchi A, Allievi N, Harbi A, Pisano M, Montori G, et al. Acute appendicitis: epidemiology, treatment and outcomes—analysis of 16544 consecutive cases. World J Gastrointest Surg. 2016;8:693–9. https://doi.org/10.4240/wjgs.v8.i10.693
Ortiz JS, Inzunza MIG, Moreno JRC, Hernández HGO, Herrera LFC, Escalante ET. Apendicitis aguda en situs inversus totalis. Reporte de un caso. Rev Mex Cir Endoscop. julio de 2013;14(3):129-132. https://doi.org/10.32645/13906984.550
Flores-Marín K, Rodríguez-Parra A, Trejo-Ávila M, Cárdenas-Lailson E, Delano-Alonso R, Valenzuela-Salazar C, et al. Apendicectomía laparoscópica en pacientes con apendicitis aguda complicada con base apendicular comprometida: estudio de cohorte retrospectivo. Cirugía y Cirujanos. 2021;89(5):651-6. https://doi.org/10.24875/ciru.200009051
Mittal V, Shah A. Situs inversus total: asociación de síndrome de Kartagener con bronquiolitis difusa y azoospermia. Archivos de Bronconeumología. 2012;48(5):179-82. https://doi.org/10.1016/j.arbres.2011.09.009
Herrera-Moncada IC, Zuluaga-Restrepo JD, Meza MDM. Apendicitis aguda en situs inversus totalis: reporte de un caso. CES Med. julio de 2012;26(2):209-14.
Huacuja-Blanco RR, Ruiz-Campos M, Lemus-Ramírez RI, Villegas-Tovar E, González-Chávez MA, Díaz-Girón-Gidi A, et al. Factores predictores para apéndice blanca y apendicitis aguda en pacientes sometidos a apendicectomía. Experiencia de dos años en una institución privada. Rev Invest Med Sur Mex. 2015; 22 (1): 11-18
Harswick C, Uyenishi AA, Kordick MF, Chan SB. Clinical guidelines, computed tomography scan, and negative appendectomies: a case series. Am J Emerg Med. 1 de enero de 2006;24(1):68-72. https://doi.org/10.1016/j.ajem.2005.07.015
Rajkumar JS, Syed A, Anirudh JR, Kishor CM, Ganesh D. Single-Incision Multi-Port Appendectomy for a Patient with Situs Inversus Totalis: First case report. Sultan Qaboos Univ Med J. mayo de 2016;16(2):242-245. https://doi.org/10.18295/squmj.2016.16.02.018
Lochman P, Hoffmann P, Kočí J. Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis. Videosurgery Miniinvasive Tech. agosto de 2012;7(3):216-9. https://doi.org/10.5114/wiitm.2011.26842
Navarro V, Oshiro H, Peña B, Moquillaza Pineda F. Situs inversus totalis. Rev Gastroenterol Perú. octubre de 2013;33(4):345-7.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Franklin Saavedra Idrogo , Jorge Luis Gálvez Díaz , Leslie Saavedra Idrogo
This work is licensed under a Creative Commons Attribution 4.0 International License.
