Appendicular peritonitis in situs inversus totalis: a case report
Introduction: Situs inversus is a congenital anomaly characterized by the transposition of the abdominal viscera. When
associated with dextrocardia, it is known as situs inversus totalis. This condition is rare and can be a diagnostic problem
when associated with appendicular peritonitis.
Case presentation: We report the case of a 20-year-old African man who presented to the emergency department
with a 4-day history of diffuse abdominal pain, which began in his left iliac region and hypogastrium. After
examination, we initiated a surgical exploration for peritonitis. We discovered a situs inversus at the left side of his liver,
and his appendix was perforated in its middle third. A complementary post-operative thoracic and abdominal
tomodensitometry revealed a situs inversus totalis.
Conclusion: Appendicular peritonitis in situs inversus is a rare association that can present a diagnostic problem.
Morphologic exploration methods such as ultrasonography, tomodensitometry, magnetic resonance imaging, and
laparoscopy may contribute to the early management of the disease and give guidance in choosing the most
appropriate treatment for patients.
Auteur(s) : M CISSE, AO TOURE, I KONATE, M DIENG, O KA, FB TOURE, A DIA, CT TOURE
Pages : 1-3
Année de publication : 2010
Revue : Journal of Medical Case Reports
N° de volume : volume 4 numéro 134
Type : Article
Mise en ligne par : KA Ousmane