Abstract
Left sided appendicitis is a rare pathology. Two situations may explain the occurrence of the disease: situs inversus or midgut malrotation. Its diagnosis is based on clinical presentation but confirmed by radiological examination. Our observation is based on a left-sided acute appendicitis with a midgut malrotation in a 31-year-old patient with no clinical history.
Highlights
Acute appendicitis constitutes the commonest abdominal surgical emergency
Acute appendicitis presents as a sharp abdominal pain in the right iliac fossa (RIF) or sometimes starting in the epigastric region, continuous in nature without irradiations sometimes associated with nausea and vomiting
Abdominal pain could be exacerbated by abrupt removal of abdominal pressure, a rebound tenderness, at the RIF (Blumberg sign) or elicited by pressing on the left lower quadrant indicating a positive Rovsing’s sign
Summary
Acute appendicitis constitutes the commonest abdominal surgical emergency. Acute appendicitis presents as a sharp abdominal pain in the right iliac fossa (RIF) or sometimes starting in the epigastric region, continuous in nature without irradiations sometimes associated with nausea and vomiting. The presence of an appendicular syndrome at the left iliac fossa is an extremely rare occurrence. This could be possible as a result of either a complete situs inversus or could even be. (2016) Left Sided Acute Appendicitis: Radiological Aspects. We report the case of a patient who presented with acute appendicitis left side of a complete common mesentery
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