关键词: Acute appendicitis case report perforation situs inversus totalis

来  源:   DOI:10.1177/2050313X241266522   PDF(Pubmed)

Abstract:
Situs inversus, an uncommon disorder, causes the orientation of asymmetric organs to be opposite to that of normal anatomy. It can be either partial, affecting only the thoracic or abdominal cavities, or full, involving the transposition of both the thoracic and abdominal organs. A 31-year-old Ethiopian male patient presented with migratory abdominal pain in the left lower quadrant for 3 days. Associated with the pain, he experienced symptoms of nausea, vomiting of ingested matter, and loss of appetite. Investigations were consistent with left-sided appendicitis with situs inversus totalis. Therefore, the patient was operated on and discharged with no perioperative complications. Appendicitis is a rare cause of left lower quadrant pain. In order to reduce the delay in patient treatment and avoidable perioperative complications, emergency physicians, radiologists, and surgeons must become more knowledgeable about situs inversus and left side appendicitis.
摘要:
Situs倒置,一种不常见的疾病,导致不对称器官的方向与正常解剖结构相反。它可以是局部的,只影响胸腔或腹腔,或满,涉及胸部和腹部器官的移位。一名31岁的埃塞俄比亚男性患者在左下腹出现3天的偏头痛。伴随着疼痛,他出现了恶心的症状,摄入物质的呕吐,和食欲不振。调查与左侧阑尾炎伴全位倒位一致。因此,患者手术出院,无围手术期并发症。阑尾炎是左下腹疼痛的罕见原因。为了减少患者治疗的延误和可避免的围手术期并发症,急诊医生,放射科医生,外科医生必须对反位和左侧阑尾炎有更多的了解。
公众号