Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review

Buono, Giuseppe Di; Maienza, Elisa; Buscemi, Salvatore; Randisi, Brenda; Agrusa, Antonino

doi:10.1016/j.ijscr.2020.10.047

Cited by 15 publications

(20 citation statements)

References 33 publications

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“…nine articles were selected. Using the same search data and the same exclusion criteria, 20 articles were selected from the Google Scholar ® database [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ].…”

Section: ⧉ Discussionmentioning

confidence: 99%

A rare case of situs inversus totalis associated with sigmoid diverticulitis and appendicular agenesis. Embryological, clinical considerations and literature review

Miheţiu

Bratu²,

Popescu³

et al. 2021

Rom J Morphol Embryol

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Section: ⧉ Discussionmentioning

confidence: 99%

A rare case of situs inversus totalis associated with sigmoid diverticulitis and appendicular agenesis. Embryological, clinical considerations and literature review

Miheţiu

Bratu²,

Popescu³

et al. 2021

Rom J Morphol Embryol

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“…Acute appendicitis is treated by surgical removal with either an open or laparoscopic approach. The CT findings regarding the type of malrotation and the cecum location help the surgeon determine the best approach accordingly [ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Appendicitis Presenting As Epigastric Pain Due to Incomplete Intestinal Malrotation

Yasin¹,

Shaban²,

Yousaf³

et al. 2021

Cureus

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Acute appendicitis is one of the most frequent causes of acute abdominal pain. Clinical signs, blood tests, and imaging are important to confirm the diagnosis. The classic presentation consists of periumbilical abdominal pain that migrates to the right lower quadrant, guarding, tenderness, and rebound tenderness in the region. We present the case of a 51-year-old male who presented with a one-day history of worsening supraumbilical pain. Abdominal computerized tomography (CT) scan showed intestinal malrotation in which the cecum assumed a midline supraumbilical location with CT features of acute appendicitis. This case highlights that the site of pain in acute appendicitis can be altered depending upon the anatomical location of the appendix, and relying on the pain's location can be misleading. We also suggest that patients with abdominal pain, which is not typical for acute appendicitis, should be investigated by abdominal CT if leukocytosis and inflammatory markers are raised.

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“…51 Similarly, acute abdominal diseases, like cholecystitis, acute appendicitis or splenic injury will present with uncommonly located symptoms. [52][53][54][55] Typically, diagnosing these acute abdominal diseases is part of the daily routine; however, medical imaging can help clarify the diagnosis when symptoms are atypical due to situs anomalies. Patients with situs inversus https://doi.org/10.2147/IJGM.S295444…”

Section: Medical Imagingmentioning

confidence: 99%

Situs Inversus Totalis: A Clinical Review

Eitler¹,

Bibok²,

Telkes³

2022

IJGM

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Situs inversus totalis is a rare congenital abnormality characterized by a mirror-image transposition of both the abdominal and the thoracic organs. While this anomaly is known since the ancient times, practicing doctors do not have much experience with it. Laterality is established early in development, and any failure in that process might lead to a wide variety of disorders which may be partial or complete. Situs solitus describes the normal anatomy, situs inversus is the complete reversal, and situs ambiguous is used for any other abnormality of left-right development. Sidedness is regulated by genes: over 100 genes have been linked to laterality defects. Frequency of situs inversus is 1:10,000 and is more frequent in males: 1.5:1. Advanced imaging modalities can be used to assess fine anatomical details, which play a crucial role in these cases to plan radiologic or surgical interventions. Percutaneous biliary procedures, portal vein embolization are really challenging procedures in SIT patients due to the mirror effect. As most surgeons are right-handed, SIT operations can cause difficulties: handling the instruments with their left hand or the pedals with their left foot can be uncomfortable Organ, especially liver transplantation represents an extraordinary surgical challenge. Solutions to overcome the anatomic differences include the use of segment or reduced size graft with rotation, modified piggy-back technique, side to-side caval anastomosis, and vascular conduit. Because of its rarity and special nature, surgical patients with situs inversus may require more flexibility and creativity from the surgical team.

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Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review

Cited by 15 publications

References 33 publications

A rare case of situs inversus totalis associated with sigmoid diverticulitis and appendicular agenesis. Embryological, clinical considerations and literature review

A rare case of situs inversus totalis associated with sigmoid diverticulitis and appendicular agenesis. Embryological, clinical considerations and literature review

Acute Appendicitis Presenting As Epigastric Pain Due to Incomplete Intestinal Malrotation

Situs Inversus Totalis: A Clinical Review

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