Clinical Images. An unusual case of appendicitis

Clinical Images. An unusual case of appendicitis

Situs inversus may be identified as an incidental finding when investigating abdominal pain in the acute emergency setting. We report a case of a 46-year-old man who presented with left-sided acute appendicitis on a background of situs inversus. The clinical presentation was left lower-quadrant pain...

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Bibliographic Details
Published in:The American journal of surgery Vol. 199; no. 6; pp. e79 - e81
Main Authors: Perera, Warren R, Hennessy, Oliver F
Format: Journal Article
Language:English
Published: United States 01-06-2010
Subjects:
Appendectomy - methods
Appendicitis - diagnosis
Appendicitis - surgery
Diagnosis, Differential
Humans
Laparoscopy - methods
Male
Middle Aged
Situs Inversus
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Summary:Situs inversus may be identified as an incidental finding when investigating abdominal pain in the acute emergency setting. We report a case of a 46-year-old man who presented with left-sided acute appendicitis on a background of situs inversus. The clinical presentation was left lower-quadrant pain. Clinically, the diagnosis of diverticulitis was made until review of plain-film imaging raised the possibility of situs inversus, and thus appendicitis. Cross-sectional imaging studies and laparoscopy confirmed the diagnosis of acute left-sided appendicitis. He underwent laparoscopic appendectomy with an uncomplicated postoperative course.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1879-1883
DOI:10.1016/j.amjsurg.2009.08.047