A Rare Cause of Acute Abdominal Paın: Situs Inversus Totalis and Acute Appendicitis

Öz

Abdominal pain is one of the most common complaints of patients presenting to the emergency department. Among the patients with abdominal pain, appendicitis is the most common surgical disorder. Appendicitis presenting with left lower quadrant pain may result in false-negative diagnosis. Left sided appendicitis occurs in association with situs inversus and intestinal malrotation. We describe a rare case of left sided appendicitis with situs inversus totalis. Key words: Appendicitis, Situs inversus, Ultrasonography

Anahtar Kelimeler

• Appendicitis, Situs inversus, Ultrasonography

Nadir Bir Akut Karın Nedeni: Situs İnversus Totalis ve Akut Apandisit

Öz

Abdominal ağrı acil servise başvurularda en sık görülen semptomlardan biridir. Apandisit abdominal ağrı ile başvuran hastalarda görülen en sık cerrahi gerektiren hastalıktır. Sol alt kadran ağrısı ile başvuran apandisit olgularında yanlış negatif tanı oranı yüksektir. Solda yerleşimli apandisit situs inversus ve intestinal malrotasyonla birlikte görülebilir. Çalışmada sol taraflı akut apandisit tanısı almış bir situs inversus totalis olgusu sunulacaktır. Anahtar kelimeler: Apandisit, Situs inversus, Ultrasonografi

Anahtar Kelimeler

• Apandisit, Situs inversus, Ultrasonografi

Kaynakça

1. Hou SK, Chern CH, How CK et al. Diagnosis of appendicitis with left lower quadrant pain. J Chin Med Assoc 2005; 68(12):599-603.
2. Pehlivan M, Kıvrak M, Gökgöz T, Ertaş E. Sol alt kadran ağrısı ile karakterize nadir bir akut karın olgusu: Situs inversus totalis ve perfore apandisit. Türkiye Klinikleri Cerrahi Dergisi 2003; 8(3):162-6.
3. Powers RD, Guertler AT. Abdominal pain in the ED: stability and change over twenty Years. Am J Emerg Med 1995; 13:301-3.
4. Brever RJ, Golden F, Hitch D et al. Abdominal pain: an analysis of 1,000 consecutive cases in a university hospital emergency room. Am J Surg 1976;131:219-23.
5. Pieper R, Kagel L. The incidence of acute appendicitis: an epidemiological study of 971 Cases. Acta Chir Scand 1982; 148:45-9.
6. Fales WD, Overton DT. In: Tintinalli JE, ed. A study guide in emergency medicine. 4th edn. Dallas, TX: McGraw-Hill; 1996:217.
7. Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. The Journal of Emergency Medicine 2001; 20(3):241-5.
8. Kamiyama T, Fujiyoshi F, Hamada H et al. Left-sided acute appendicitis with intestinal malrotation. Radiation Medicine 2005; 23(2):125-7.

9. Collins D. Seventy-one thousand human appendix specimens: a final report summarizing 40 years’ study. Am J Proctol 1963; 14:365-81.