Appendicular peritonitis in situs inversus totalis: a case report

Cissé, Mamadou; Touré, Alpha Oumar; Konaté, Ibrahima; Dieng, Madieng; Kâ, Ousmane; Touré, Fode Baba; Dia, A.; Touré, Cheikh Tidiane

doi:10.1186/1752-1947-4-134

Cited by 13 publications

(7 citation statements)

References 4 publications

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“…Perforation peritonitis in situs inversus is extremely rare with one case of gall bladder perforation [3], one case of appendicular perforation [10] and two cases of peptic perforation peritonitis described in literature [2], [11].…”

Section: Discussionmentioning

confidence: 99%

Our experience with surgery in situs inversus: Open peptic perforation repair and laparoscopic cholecystectomy in 1 patient and 3 patients respectively

Ahmed

Khan

Chhabra

et al. 2016

International Journal of Surgery Case Reports

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HighlightsSurgical diagnosis of conditions causing acute abdominal pain in situs inversus is complicated by the mirror image anatomy.Chest X-ray and Ultrasonography abdomen can be helpful in diagnosing this condition.Laparoscopic cholecystectomy in situs inversus is problematic for right handed surgeons.We describe a modified 4 port configuration where right handed surgeons can use the left mid-clavicular port for dissection.

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Section: Discussionmentioning

confidence: 99%

Our experience with surgery in situs inversus: Open peptic perforation repair and laparoscopic cholecystectomy in 1 patient and 3 patients respectively

Ahmed

Khan

Chhabra

et al. 2016

International Journal of Surgery Case Reports

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“…En l’absence de cette technique, la tomodensitométrie (TDM) abdominale permet d’orienter la voie d’abord chirurgicale [9,13]. …”

Section: Discussionunclassified

“…La laparoscopie est primordiale dans ces cas puisqu’elle permet de confirmer l’anomalie anatomique puis proposer un traitement qui consisterait à une appendicectomie sous cœlioscopie [ 12 ]. En l’absence de cette technique, la tomodensitométrie (TDM) abdominale permet d’orienter la voie d’abord chirurgicale [ 9 , 13 ].…”

Section: Discussionunclassified

Appendicite aigue a manifestation clinique gauche sur m&#233sent&#232re communum complet: &#192 propos d'un cas

Almadi¹,

Bouamama²,

Rami³

et al. 2011

Pan Afr Med Jrnl

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La malrotaion intestinale chez l’enfant est une anomalie rare due à un arrêt des phénomènes de rotation et d’accolement de l’intestin primitif. Elle peut être grave en cas de mésentère commun incomplet en se compliquant d’un volvulus du grêle ou asymptomatique si la rotation s’arrête à 90° se déclarant ainsi par des formes atypiques d’appendicite comme c’est le cas de notre observation. Il s’agit d’un garçon de 15 ans qui a présenté une semaine avant son admission des douleurs abdominales diffuses avec vomissements alimentaires évoluant dans un contexte fébrile et chez qui l’examen clinique avait montré une sensibilité de la fosse iliaque gauche. Le bilan biologique avait objectivé un syndrome inflammatoire biologique. Les examens radiologiques étaient en faveur d’un mésentère commun complet avec multiples adénopathies mésentériques et infiltration de la graisse mésentérique. L’exploration cœlioscopique a confirmé le diagnostic de malrotation avec appendicite aigue. L’évolution après l’appendicectomie était favorable. Si l’appendicite aigue dans sa forme habituelle est une urgence chirurgicale fréquente chez l’enfant, ses formes atypiques dans le cadre d’une malrotation intestinale ou d’un situs inversus restent très difficiles à diagnostiquer. L’imagerie moderne notamment la tomodensitométrie (TDM) abdominale puis la cœlio-chirurgie ont beaucoup contribué au diagnostic de ces forms.

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“…SIT is associated with various gastrointestinal abnormalities. In the current literature, development of intestinal ischemia due to intestinal malrotation, and also acute appendicitis and liver transplantation due to juvenile biliary atresia were reported [ 2 - 4 ]. However, there is no data for the development of secondary biliary cirrhosis (SBC) due to extrahepatic cholestasis in a patient with SIT.…”

Section: Introductionmentioning

confidence: 99%

Situs inversus totalis and secondary biliary cirrhosis: a case report

et al. 2011

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Situs inversus totalis is is a congenital anomaly associated with various visceral abnormalities, but there is no data about the relationship between secondary biliary cirrhosis and that condition. We here present a case of a 58 year-old female with situs inversus totalis who was admitted to our clinic with extrahepatic cholestasis. After excluding all potential causes of biliary cirrhosis, secondary biliary cirrhosis was diagnosed based on the patient's history, imaging techniques, clinical and laboratory findings, besides histolopathological findings. After treatment with tauroursodeoxycholic acid, all biochemical parameters, including total/direct bilirubin, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and gama glutamyl transferase, returned to normal ranges at the second month of the treatment. We think that this is the first case in literature that may indicate the development of secondary biliary cirrhosis in a patient with situs inversus totalis. In conclusion, situs inversus should be considered as a rare cause of biliary cirrhosis in patients with situs inversus totalis which is presented with extrahepatic cholestasis.

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Appendicular peritonitis in situs inversus totalis: a case report

Cited by 13 publications

References 4 publications

Our experience with surgery in situs inversus: Open peptic perforation repair and laparoscopic cholecystectomy in 1 patient and 3 patients respectively

Our experience with surgery in situs inversus: Open peptic perforation repair and laparoscopic cholecystectomy in 1 patient and 3 patients respectively

Appendicite aigue a manifestation clinique gauche sur m&#233sent&#232re communum complet: &#192 propos d'un cas

Situs inversus totalis and secondary biliary cirrhosis: a case report

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