“…Incidence of situs anomalies reported in the literature varies from 0.001% to 0.01% in the general population 7,25 . The incidence of acute appendicitis asociated with situs inversus totalis is reported between 0.016% and 0.024% 25,26,32 .…”
Section: Discussionmentioning
confidence: 99%
“…In our cases, we diagnosed this anomaly by a chest radiography and an abdominal USG. Diagnosis of SIT or MM for the most of patients in preoperative period has been easier to achieve after 1985 when USG and CT were introduced into the medical practice, while in the previous years diagnosis was established on intraoperative findings or with postoperative barium enema studies in some patients; even enlargement of incision or a further incision was required 1,2,[4][5][6][11][12][13][20][21][22][26][27][28][29][30][31][32] . In the light of these results, despite the fact that physicians' clinical suspicion is a gold standard, the risk for false diagnosis is considerably reduced with the effective use of radiological diagnostic methods.…”
SIT and MM should be taken into consideration in patients with findings of the physical examination suspicious for left-sided acute appendicitis. X-ray, USG, CT and diagnostic laparoscopy are beneficial in developing the differential diagnosis.
“…Incidence of situs anomalies reported in the literature varies from 0.001% to 0.01% in the general population 7,25 . The incidence of acute appendicitis asociated with situs inversus totalis is reported between 0.016% and 0.024% 25,26,32 .…”
Section: Discussionmentioning
confidence: 99%
“…In our cases, we diagnosed this anomaly by a chest radiography and an abdominal USG. Diagnosis of SIT or MM for the most of patients in preoperative period has been easier to achieve after 1985 when USG and CT were introduced into the medical practice, while in the previous years diagnosis was established on intraoperative findings or with postoperative barium enema studies in some patients; even enlargement of incision or a further incision was required 1,2,[4][5][6][11][12][13][20][21][22][26][27][28][29][30][31][32] . In the light of these results, despite the fact that physicians' clinical suspicion is a gold standard, the risk for false diagnosis is considerably reduced with the effective use of radiological diagnostic methods.…”
SIT and MM should be taken into consideration in patients with findings of the physical examination suspicious for left-sided acute appendicitis. X-ray, USG, CT and diagnostic laparoscopy are beneficial in developing the differential diagnosis.
“…The incidence of acute appendicitis associated with SIT is reported to be between 0.016 and 0.024%. 2,3 Laparoscopy is a valuable tool in surgeon's hand in case of SIT with acute abdomen, which provides confirmatory and definitive surgery of involved pathology. 4 To the best of our knowledge, there are no reported cases of acute abdomen due to acute appendicitis associated with left paraovarian hemorrhagic cyst in patients with SIT.…”
Introduction: Situs inversus totalis (SIT) is an entity in which there is transposition of both the abdominal and thoracic organs. Presentation of acute abdomen in a case of SIT poses a challenge to the treating surgeon. We present a rare case report in which we identify the role of laparoscopy in confirming acute appendicitis with a simultaneous left paraovarian hemorrhagic cyst as a cause of left iliac fossa pain.
“…When this anomalous condition is associated with dextrocardia, it is known as situs inversus totalis. The earliest documented description of situs inversus totalis with dextrocardia is found in 1643 from the anatomist surgeon Marco Aurelio [1][2][3] . It is a rare condition with its incidence reported variably as 1-2/10,000 normal population.…”
Section: Introductionmentioning
confidence: 99%
“…It is a rare condition with its incidence reported variably as 1-2/10,000 normal population. The mode of transmission is autosomal recessive; however the exact etiology continues to remain elusive [3][4][5] .…”
Situs inversus totalis is a rare autosomal recessive disorder characterized by transposition of the intra-abdominal as well as the intrathoracic viscera. We present the case of a 45-year-old Pakistani lady who had choledochal cyst with cholelithiasis in tandem with situs inversus totalis. We were faced with dilemmas both diagnostic and management during the course of her care. We share our experience with emphasis on both ultrasonologist as well as surgical team members to be mindful of the possibility of an underlying choledochal cyst when they are dealing with symptomatic gall stone disease in such patients. This will ensure appropriate surgical planning and avert the avoidable dilemmas intra-operatively.
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