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 UNUSUAL CASE
Year : 2006  |  Volume : 2  |  Issue : 4  |  Page : 220-221

Laparoscopic management of acute appendicitis in situs inversus


Department of Surgery, Sultan Qaboos Hospital, Salalah - 211, Sultanate of Oman, Oman

Correspondence Address:
Vishwanath Golash
Department of Surgery, Sultan Qaboos hospital, P.O. Box; 98, Salalah - 211, Sultanate of Oman
Oman
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Source of Support: None, Conflict of Interest: None


PMID: 21234150

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Situs inversus is often detected incidentally in adults during imaging for a acute surgical emergency. We present a case of acute appendicitis in an adult who was previously unaware about his situs anomaly. A laparoscopic approach is helpful to deal with this condition. A 40 year old man was admitted with history of acute left lower abdominal pain, with uncontrolled diabetic keto-acidosis. Clinically, he was diagnosed as acute diverticulitis with localized peritonitis. Subsequent imaging studies and laparoscopy confirmed the diagnosis of situs inversus and acute left- sided appendicitis. He successfully underwent laparoscopic appendectomy. His postoperative recovery was uneventful. Although technically more challenging because of the reverse laparoscopic view of the anatomy, the laparoscopic diagnosis and management of acute appendicitis is indicated in situs inversus.






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Online since 15th August '04