Uncomplicated acute appendicitis in situs inversus totalis. A case report

Authors

  • Franklin Saavedra Idrogo Hospital Luis Heysen Incháustegui, EsSalud, Chiclayo, Perú
  • Jorge Luis Gálvez Díaz Hospital Luis Heysen Incháustegui, EsSalud, Chiclayo, Perú
  • Leslie Saavedra Paredes Puesto de Salud La Zaranda, Chiclayo, Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2022.154.1309

Keywords:

Acute appendicitis, situs inversus totalis, laparoscopic appendectomy

Abstract

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.

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Author Biographies

Franklin Saavedra Idrogo , Hospital Luis Heysen Incháustegui, EsSalud, Chiclayo, Perú

  1. Doctor en Educación.

Jorge Luis Gálvez Díaz , Hospital Luis Heysen Incháustegui, EsSalud, Chiclayo, Perú

1. Especialista en Cirugía General

Leslie Saavedra Paredes, Puesto de Salud La Zaranda, Chiclayo, Perú

  1. Médico cirujano

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Published

2023-01-29

How to Cite

1.
Saavedra Idrogo F, Gálvez Díaz JL, Saavedra Paredes L. Uncomplicated acute appendicitis in situs inversus totalis. A case report. Rev. Cuerpo Med. HNAAA [Internet]. 2023 Jan. 29 [cited 2024 May 20];15(4):615-8. Available from: http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1309