Acute Appendicitis in Situs Inversus Totalis: A Case Report and Review of Literature

Abstract

Acute appendicitis is the most common surgical condition seen in the emergency unit. In most cases, the diagnosis is straightforward, but sometimes maybe not easy as it may be presented in an atypical manner like unusual pain in the left iliac fossa. A 10-years-old boy was presented with an acute abdomen started in the periumbilical area and thereafter, shifted to the left iliac fossa. Chest X-ray and abdominal CT scan was confirmed the diagnosis of acute appendicitis with situs inversus totalis (SIT). Conventional appendectomy was performed with a good outcome. In addition to the detailed history and proper examination, a high index of suspicion and radiological investigations are mandatory to diagnose acute appendicitis in subjects with SIT.