دورية أكاديمية
A Case of Left-Sided Acute Appendicitis in a 45-Year-Old Man with Situs Inversus Totalis Managed by Emergent Laparoscopic Appendectomy.
| العنوان: | A Case of Left-Sided Acute Appendicitis in a 45-Year-Old Man with Situs Inversus Totalis Managed by Emergent Laparoscopic Appendectomy. |
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| المؤلفون: | Mvoula L; Department of Surgery, NYC Health + Hospital/Lincoln Medical and Mental Health Center, Bronx, NY, USA., Khrisat T; Department of Surgery, NYC Health + Hospital/Lincoln Medical and Mental Health Center, Bronx, NY, USA., Lueders M; Department of Surgery, NYC Health + Hospital/Lincoln Medical and Mental Health Center, Bronx, NY, USA. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2024 Feb 27; Vol. 25, pp. e942323. Date of Electronic Publication: 2024 Feb 27. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Appendicitis*/complications , Appendicitis*/diagnosis , Appendicitis*/surgery , Dextrocardia*/complications , Situs Inversus*/diagnosis , Laparoscopy*/methods, Male ; Humans ; Middle Aged ; Appendectomy/adverse effects ; Abdominal Pain/etiology ; Abdominal Pain/surgery ; Acute Disease |
| مستخلص: | BACKGROUND Situs inversus totalis (SIT) is a rare congenital abnormality that includes mirror-image transposition of both the abdominal and the thoracic organs. It may remain undetected into adulthood until an acute medical emergency results in diagnostic imaging. This report presents a challenging case of left-sided acute appendicitis in a 45-year-old man with SIT. CASE REPORT A 45-year-old man with a medical history of gastroesophageal reflux disease, class 2 obesity, prediabetes, and elevated low-density lipoprotein cholesterol presented with severe acute abdominal pain localized in the left lower quadrant with localized tenderness, nausea, and 2 episodes of non-bloody and non-bilious emesis that started a day before the clinical encounter. Computed tomography of the abdomen and pelvis revealed previously undiagnosed congenital SIT. In addition, physical, laboratory, and radiological findings suggested early acute appendicitis with no evidence of complications. Hence, the patient was managed with an emergent laparoscopic appendectomy. Acute appendicitis was confirmed in the post-surgery histopathological examination. The post-surgery recovery was uneventful, and the patient was discharged home on the second postoperative day. CONCLUSIONS This report highlights that SIT may remain undiagnosed into adulthood and poses a challenge in the diagnosis of left-side appendicitis due to atypical symptom presentation, supporting the findings of previous case reports. Therefore, the inclusion of left-sided acute appendicitis in the differential diagnosis of abdominal pain in the left lower quadrant is warranted. |
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| تواريخ الأحداث: | Date Created: 20240227 Date Completed: 20240228 Latest Revision: 20240306 |
| رمز التحديث: | 20240306 |
| مُعرف محوري في PubMed: | PMC10910720 |
| DOI: | 10.12659/AJCR.942323 |
| PMID: | 38409778 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5923 |
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| DOI: | 10.12659/AJCR.942323 |