The American Journal of Surgery
Volume 199, Issue 6 , Pages e79-e81, June 2010

An unusual case of appendicitis

Medical Imaging Department, St Vincent's Hospital, PO Box 2900, Fitzroy, Victoria 3065, Australia

Received 30 May 2009; received in revised form 26 July 2009 published online 02 March 2010.

Abstract 

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.

Keywords: Situs inversus, Left-sided appendicitis

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PII: S0002-9610(10)00019-X

doi:10.1016/j.amjsurg.2009.08.047

The American Journal of Surgery
Volume 199, Issue 6 , Pages e79-e81, June 2010

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