Laparoscopic appendectomy in a female patient with situs inversus: case report and literature review

Situs inversus is an uncommon condition caused by a single autosomal recessive gene of incomplete penetration. A potential diagnostic dilemma can occur in the young female patient with a history of situs inversus who presents with pelvic pain. A 32-year-old multiparous patient with a known history o...

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Bibliographic Details
Published in:	Journal of the Society of Laparoendoscopic Surgeons Vol. 8; no. 2; pp. 175 - 177
Main Authors:	Song, Jonathan Y, Rana, Nasir, Rotman, Carlos A
Format:	Journal Article
Language:	English
Published:	United States Society of Laparoendoscopic Surgeons 01-04-2004
Subjects:	Adult Appendectomy - methods Case Reports Endometriosis - complications Endometriosis - surgery Female Humans Laparoscopy Pelvic Pain - etiology Situs Inversus - surgery Tissue Adhesions - etiology Tissue Adhesions - surgery Treatment Outcome
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Summary:	Situs inversus is an uncommon condition caused by a single autosomal recessive gene of incomplete penetration. A potential diagnostic dilemma can occur in the young female patient with a history of situs inversus who presents with pelvic pain. A 32-year-old multiparous patient with a known history of situs inversus presented with complaints of pelvic pain. A medical history and full physical examination were indicative of possible endometriosis. The patient underwent an operative laparoscopy, which revealed stage II pelvic endometriosis based on the American Fertility Society Revised Classification for Endometriosis (R-AFS), with appendicular and periappendicular adhesions involving the cecum. Ablation of endometriosis and an appendectomy were performed. The authors believe the laparoscopic approach to an appendectomy is ideal in a patient with situs inversus and should be performed at the time of laparoscopy performed for another reason.
Bibliography:	ObjectType-Case Study-3 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4
ISSN:	1086-8089 1938-3797