Single-Incision Multi-Port Appendectomy for a Patient with Situs Inversus Totalis: First case report

Rajkumar, J. S.; Syed, Akbar; Anirudh, JR; Kishor, C M; Ganesh, Deepa

doi:10.18295/squmj.2016.16.02.018

Cited by 9 publications

(2 citation statements)

References 15 publications

(17 reference statements)

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“…In literature only few cases of laparoscopic approach in LSAA are reported and the first laparoscopic appendectomy was performed in 1998 by Contini et al [17] . The laparoscopic technique used in our case report was conventionally with tree three ports, however single-incision multiport appendectomy for a patient with SVIT has been reported [18] . AA is still one of the most common surgical emergencies with low morbidity and mortality if surgical treatment is not delayed.…”

Section: Discussionmentioning

confidence: 99%

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Evola

Ferrara

Fede³

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Left-sided acute appendicitis (LSAA) is a very rare cause of acute abdomen, developing in association with two types of congenital anomalies like as situs viscerum inversus (SVI) and midgut malrotation (MM). Preoperative diagnosis of LSAA is a challenge because of its rarity and atypical presentation. Imaging may be helpful for determining the correct diagnosis. Surgery represents the standard treatment of LSAA. Case presentation A 67-year-old Caucasian male with presented to the Emergency Department with a two-day history of left lower quadrant (LLQ) abdominal pain, nausea, vomiting, diarrhea and fever. Physical examination revealed LLQ abdominal rebound tenderness with guarding. Laboratory tests reported high levels of C-reactive protein and neutrophilic leukocytosis. Abdominal contrast-enhanced computed tomography showed a LSAA with intraluminal appendicoliths, fat infiltration and pericecal fluid collection in a patient with SVI. The patient underwent laparoscopic appendectomy: a gangrenous and perforated appendicitis was sectioned and removed with drainage of pericecal abscess. The postoperative course of the patient was uneventful. Clinical discussion LSAA is characterized by anatomical variation of appendix and atypical presentation. Preoperative clinical diagnosis of LSAA is very difficult and imaging may be helpful for determining the correct diagnosis, as well as confirming SVIT or MM. Laparoscopic appendectomy represents the correct treatment of LSAA. Conclusion LSAA is a rare surgical emergency that should be considered in the differential diagnosis of patients with LLQ abdominal pain. Preoperative diagnosis of LSAA needs a high index of suspicion and is facilitated by imaging. Surgery represents the appropriate treatment of LSAA.

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Section: Discussionmentioning

confidence: 99%

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Evola

Ferrara

Fede³

et al. 2022

International Journal of Surgery Case Reports

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“…We evaluated only publications in English language and we excluded articles that did not consider surgical treatment but only radiological diagnosis or anesthesiologic management. Only 4 patients were treated with laparoscopic approach [ 20 , [37] , [38] , [39] ] and one patients with single-incision technique [ 40 ]. In these cases the authors described the advantages of laparoscopy in differential diagnosis and surgical treatment, but with several difficulty related to different operating field with “mirror image” and reverse laparoscopic view that can be represent a technical challenge also for experienced surgeon.…”

Section: Discussionmentioning

confidence: 99%

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

Buono

Maienza

Buscemi

et al. 2020

International Journal of Surgery Case Reports

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Highlights Abdominal pain due to acute appendicitis in one of the most causes of access to Emergency Room requiring surgical consult and treatment. The occurrence of anatomical anomalies should be considered especially when clinical and imaging features are misleading. In these cases laparoscopic surgery can be a safe tool in order to confirm uncertain diagnosis. We report a case of acute appendicitis in a 23-year-old Caucasian men with situs viscerum inversus detected on radiological investigation. Laparoscopic approach was used to confirm the diagnosis and to perform appendectomy. Trocars placement was tailored for this peculiar case. Situs viscerum inversus and midgut malrotation should be taken into consideration in patients with findings of the physical examination suspicious for left-sided acute appendicitis.

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Left-Sided Acute Appendicitis: a Case Report and a Review of Literature

et al. 2018

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Single-Incision Multi-Port Appendectomy for a Patient with Situs Inversus Totalis: First case report

Cited by 9 publications

References 15 publications

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

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

Left-Sided Acute Appendicitis: a Case Report and a Review of Literature

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