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. 2021 Feb 4;9(3):1791-1792.
doi: 10.1002/ccr3.3734. eCollection 2021 Mar.

Left-sided appendicitis due to situs inversus totalis

Yuki Otsuka  1   2 , Ruiko Hayashi  2 , Shinichi Urano  3 , Akihide Yashima  3 , Yasuo Nanba  3 , Fumio Otsuka  1
Affiliations

Left-sided appendicitis due to situs inversus totalis

Yuki Otsuka et al. Clin Case Rep. .

Abstract

Situs inversus may mimic the pain localization of acute abdomen. In patients with acute abdomen, especially elderly patients who are medically healthy, physicians should cautiously diagnose the etiology of acute abdomen in combination with imaging studies.

Keywords: appendicitis; diagnosis; image; situs inversus totalis.

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Conflict of interest statement

The authors declare no conflicts of interest in association with this study.

Figures

FIGURE 1
FIGURE 1
Axial and coronal images of abdominal computed tomography. In addition to the transposition of all viscera, left‐sided swollen appendix with fecolith and mesenteric panniculitis (arrow) is observed, which is consistent with appendicitis
See this image and copyright information in PMC

References

    1. Matsuura H, Hata H. Opposite Murphy’s Sign. Gastroenterology. 2018;156:879‐880. - PubMed
    1. Akbulut S, Ulku A, Senol A, et al. Left‐sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol. 2010;16:5598‐5602. - PMC - PubMed

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