2018, Number 1
<< Back
Anales de Radiología México 2018; 17 (1)
Acute abdomen in a patient with situs inversus
Penagos-Noriega S, Solís-Rodríguez RM
Language: Spanish
References: 13
Page: 77-81
PDF size: 583.44 Kb.
ABSTRACT
Acute abdomen is a clinical syndrome which comprises all recent-onset abdominal pain
with repercussions in the patient’s general state, and requires a rapid and precise diagnosis,
in view of the possible need for urgent surgical treatment. Situs inversus totalis is an
uncommon recessive autosomal genetic condition, characterized by the inverted position of
the thoracic and abdominal organs in relation to the sagittal plane. Appendicitis is the most
common cause of emergency surgery worldwide, with a prevalence of 7-8%. We present
the case of a male patient, age 36 years, with 6 hours’ evolution of periumbilical abdominal
pain, which was localized in the left iliac fossa, with tachycardia, fever, and leukocytosis;
in computed tomography, we observed situs inversus totalis, appendix on the left, post-ileal
localization, increase in thickness, thickening of its walls, heterogeneous enhancement,
and submucosal edema.
REFERENCES
Guía de práctica clínica laparotomía/laparoscopía diagnóstica para abdomen agudo no traumático en el adulto. México: Secretaría de Salud; 2010. p. 7-8.
Corral GG, Labra WA, Schiappacasse FG. Manifestaciones abdominales de las anomalías del situs ambiguous en el adulto. A propósito de cuatro casos. Rev Chil Rad. 2013;19:38-43.
Yokoyama T, Copeland NG, Jenkins NA, Montgomery CA, Elder FF, Overbeek PA. Reversal of left-right asymmetry: a situs inversus mutation. Science. 1993;260:679-82.
Gedda L, Sciacca A, Brenci G, Villatico S, Bonanni G, Gueli N, et al. Situs viscerum specularis in monozygotic twins. Acta Genet Med Gemellol (Roma). 1984;33:81-5.
Verano NR, Merkin RJ. Situs inversus: review of literature. Report of four cases and analysis of the clinical implications. J Int Surg. 1960;33:131-48.
Stewart B, Khanduri P, McCord C, Ohene-Yeboah M, Uranues S, Vega Rivera F, et al. Global disease burden of conditions requiring emergency surgery. Br J Surg. 2014;101:9-22.
Guía de práctica clínica. Diagnóstico de apendicitis. México: Secretaría de Salud; 2009. p. 16-7.
Franklin ME Jr, Almeida JA, Pérez ER, Michaelson RLP, Majarrez A. Cholecystectomy and appendectomy by laparoscopy in a patient with situs inversus totalis: a case report and review of the literature. Asoc Mex Cir Endoscopica. 2001;2:150-3.
Perera WR, Hennessy OF. Clinical images. An unusual case of appendicitis. Am J Surg. 2010;199:79-81.
Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. J Emerg Med. 2001;20:241-5.
Akbulut S, Ulku A, Senol A, Tas M, Yasmur Y. Left-sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol. 2010;16:5598-602.
Marx J, Hockeberger R, Walls R. Rosen’s Emergency medicine: concepts and clinical practice. 8th ed. Philadelphia: Elsevier; 2014. p. 223-31.
Collins D. Seventy-one thousand human appendix specimens: a final report summarizing 40 years’ study. Am J Proctol. 1963;14:365-81.
Full text