Laparoscopic Appendicectomy in a Patient with Situs Inversus Totalis

Patel, Rajan B.; Bhadreshwara, K A; Hukkeri, Santosh

doi:10.1007/s12262-011-0311-9

Cited by 14 publications

(16 citation statements)

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“…In literature, there are reported cases of laparoscopic cholecystectomies in patients with SIT, which have been performed with success and a low rate of complications due to pre-surgical knowledge of the condition. All patients with SIT should be evaluated presurgically to rule out associated syndromes and cardiac or gastrointestinal malformations that may complicate the surgical act [4,6]. Surprisingly, our patient was not diagnosed with SIT until 46 years old, considering the fact that her sister had the diagnosis 10 years ago.…”

Section: Discussionmentioning

confidence: 81%

“…On the other hand, only 50% of patients with left side appendix experience pain in the left side. This clinical presentation can be explained by the fact that the organs are transposed, but the peripheral nervous system components are not, allowing the patient to experience diffuse abdominal pain [6].…”

Section: Discussionmentioning

confidence: 99%

“…In cholecystitis, the pain could be found in the left upper quadrant, easily misdiagnosing it as gastritis. Therefore, the physician must keep clinical suspicion of SIT based on physical examination findings and subsequently perform the respective radiological studies [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Acute Cholecystitis in a Patient With Situs Inversus Totalis: An Unexpected Finding

Ortiz¹,

Lacouture²,

Medina³

et al. 2021

Cureus

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Situs inversus totalis (SIT) has an incidence in the general population of 1/10,000, with a female-male ratio of 1:1.5 without racial predilection. Clinically, SIT by itself tends to be asymptomatic; however, when it is associated with other conditions such as cholecystitis or appendicitis, the diagnosis may represent a challenge due to the reversed anatomical location of symptoms. This article presents a case of a 46-year-old female who arrived at the emergency department due to one week of non-bilious vomiting and colicky abdominal pain located in the left hypochondrium; therefore, abdominal ultrasonography was performed, showing transposition of abdominal organs associated with cholelithiasis plus acute cholecystitis. As a result, the patient was scheduled for laparoscopic cholecystectomy, resulting in an appropriate post-surgical evolution, for which discharge was given with a general surgery control appointment.Laparoscopic cholecystectomy in patients with SIT represents a challenge due to the technical complexity derived from the transposition of the abdominal organs; therefore, the surgeon is forced to perform the procedure by placing three trocars with a specular approach plus the umbilical trocar.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Cholecystitis in a Patient With Situs Inversus Totalis: An Unexpected Finding

Ortiz¹,

Lacouture²,

Medina³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…We evaluated only publications in English language and we excluded articles that did not consider surgical treatment but only radiological diagnosis or anesthesiologic management. Only 4 patients were treated with laparoscopic approach [ 20 , [37] , [38] , [39] ] and one patients with single-incision technique [ 40 ]. In these cases the authors described the advantages of laparoscopy in differential diagnosis and surgical treatment, but with several difficulty related to different operating field with “mirror image” and reverse laparoscopic view that can be represent a technical challenge also for experienced surgeon.…”

Section: Discussionmentioning

confidence: 99%

Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review

Buono

Maienza

Buscemi

et al. 2020

International Journal of Surgery Case Reports

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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.

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“…SIT cases are generally asymptomatic healthy individuals and they are detected by examination in the radiographs (4). SIT occurs by 270 degrees clockwise rotation of the embryonic midgut (5).…”

Section: Figure 4: Mr Shows Uterine Cystic Lesionmentioning

confidence: 99%

Pediatric Surgical Cases Complicated with Situs Inversus Totalis

Beğer

Düz²,

Kızılyıldız³

et al. 2019

Pediatric Practice and Research

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Situs inversus totalis (SIT) is an unusual anomaly that characterized by complete mirroring of organ locations in the opposite side of the body. Acute appendicitis, intussusception, duodenal atresia, esophageal atresia, and occasionally hydrocolpos are frequently encountered in pediatric surgeons in clinical practice. As a result; the surgeon can easily apply current treatment procedures in surgical conditions complicated with SIT as long as the surgeon is aware of the anatomical and spatial state. Complicated diseases with SIT should be kept in mind as they may be associated with some syndromes

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Laparoscopic Appendicectomy in a Patient with Situs Inversus Totalis

Cited by 14 publications

References 1 publication

Acute Cholecystitis in a Patient With Situs Inversus Totalis: An Unexpected Finding

Acute Cholecystitis in a Patient With Situs Inversus Totalis: An Unexpected Finding

Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review

Pediatric Surgical Cases Complicated with Situs Inversus Totalis

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