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RESEARCH PRODUCT
Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review
Antonino AgrusaGiuseppe Di BuonoBrenda RandisiElisa MaienzaSalvatore BuscemiGiorgio Romanosubject
Laparoscopic surgerycongenital hereditary and neonatal diseases and abnormalitiesmedicine.medical_specialtyAbdominal painMidgut malrotationmedicine.medical_treatmentCase ReportLaparoscopic surgery03 medical and health sciencesStandard anatomical position0302 clinical medicineotorhinolaryngologic diseasesmedicineUrgent laparoscopyAcute appendicitisSitus viscerum inversusbusiness.industryGeneral surgeryAppendixmedicine.anatomical_structure030220 oncology & carcinogenesisAcute appendicitis030211 gastroenterology & hepatologySurgeryDifferential diagnosismedicine.symptomMidgut malrotationSitus viscerum inversusbusinessdescription
Highlights • Abdominal pain due to acute appendicitis in one of the most causes of access to Emergency Room requiring surgical consult and treatment. • The occurrence of anatomical anomalies should be considered especially when clinical and imaging features are misleading. In these cases laparoscopic surgery can be a safe tool in order to confirm uncertain diagnosis. • We report a case of acute appendicitis in a 23-year-old Caucasian men with situs viscerum inversus detected on radiological investigation. • Laparoscopic approach was used to confirm the diagnosis and to perform appendectomy. Trocars placement was tailored for this peculiar case. • Situs viscerum inversus and midgut malrotation should be taken into consideration in patients with findings of the physical examination suspicious for left-sided acute appendicitis.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-10-01 |