A Report of Two Cases with Acute Abdomen in Situs Inversus

Document Type : Original Article

Authors

Department of Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

 





1-Assistant Professor of Surgery.
2-Resident of Surgery.
 
 
 
 
 
1,2-Department of Surgery, School of Medicine, Ahvaz Jundishapur University of  Medical Sciences, Ahvaz, Iran.
 
 
 
 
 
 
*Corresponding author:
Mohammad Farahnak; Department of Surgery, School of Medicine, Ahvaz Jundishapur University of  Medical Sciences, Ahvaz, Iran.
 Tel:+989121791041
Email: mrfarahnak@ajums.ac.ir
 
 
 
 
 
 
 
 
 
 
 
 
 
 





Abdominal pain is a common complaint in patients presenting to the emergency department. It is estimated that 4 to 8 % of emergency department visits for adults is abdominal pain. Causes of abdominal pain are many and varied depending on age, sex and underlying physiological, pathological or developmental variables and usually detailed a list of differential diagnoses. There are variable acute abdomen manifestations in patients with situs inversus. Development of abdominal visceral nerve in situs inversus is normal and incidence of acute abdominal pain is same as in patient without situs inversus and is felt in the same site.
In this article, two cases of acute abdomen, acute appendicitis and gallbladder inflammation that manifestated with pain and tenderness in the right abdomen. Further examinations and during surgical intervention it was revealed that they had situs inversus.

Keywords


 
1-Ali E. Ucar, Emre Ergul, Recep Aydin, Yigit M. Ozgun & Birol Korukluoglu: Left-Sided Acute Appendicitis With Situs Inversus Totalis: The Internet Journal of Surgery. 2007; 12) 2 (
2-Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. J Emerg Med 2001;20(3):241-5
3-Contini S, Dalla Valle R, Zinicola R. Suspected appendicitis in situs inversus totalis: an indication for a laparoscopic approach. Surg Laparosc Endosc 1998;8(5):393-4.
4-Demetriades H, Botsios D, Dervenis C, Evagelou J, Agelopoulos S, Dadoukis J. Laparoscopic cholecystectomy in two patients with symptomatic cholelithiasis and situs inversus totalis. Dig Surg 1999;16(6):519-21.
5-van Steensel CJ, Wereldsma JC. Acute appendicitis in complete situs inversus. Neth J Surg 1985;37(4):117-8
6-Blegen HM. Surgery in sirus inversus. Ann Surg 1949;129(2):244-59.
7-Owen-Smith MS. Acute left-sided appendicitis. Br J Surg 1969;56(3):233-4.