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LEFT LOWER QUADRANT PAIN IN THE PATIENT WITH SITUS INVERSUS TOTALIS; ACUTE APPENDICITIS

ARSLAN HASAN KOCAMAZ, ÖMER KİŞİ, ABDULKADİR ÇELİK, ABDULLAH GÜRHAN DUYAN

Eurasian Clinical and Analytical Medicine - 2025;13(1):19-21

Department of General Surgery, Kayseri State Hospital, Kayser

 

One of the most common reasons for emergency service admissions is abdominal pain. One of these is acute appendicitis. Situs inversus totalis (SIT) is a rare genetic anomaly characterized by the transposition of the organs in the abdomen and thorax in a mirror image. In situs inversus totalis and intestinal malrotation, it is seen that the appendix is located on the left, as in other organs. We aimed to discuss a case diagnosed with situs inversus totalis and acute appendicitis and underwent a laparoscopic appendectomy in light of the literature. A 42-year-old male patient was admitted to the emergency department with left lower quadrant pain. Laparoscopic appendectomy was performed on the detection of situs inversus totalis and acute appendicitis as a result of physical examination and imaging. Rare clinical conditions such as appendicitis should be considered in cases with left lower quadrant pain and situs inversus totalis and should be included in the differential diagnosis. Early diagnosis is important as life-threatening complications may develop.