نوع مقاله : Case Report
نویسندگان
1 کارشناس ارشد مامایی، گروه مامایی، دانشکدهی پرستاری و مامایی، دانشگاه آزاد اسلامی، واحد ورامین پیشوا، تهران
2 متخصص زنان و مامایی، گروه زنان و مامایی، بیمارستان مفتح، دانشگاه علوم پزشکی شهید بهشتی، تهران
3 متخصص داخلی، گروه جراحی، بیمارستان مفتح، دانشگاه علوم پزشکی شهید بهشتی، تهران
4 دانشجوی کارشناسی ارشد مامایی، دانشگاه تربیت مدرس، تهران
چکیده
عنوان مقاله [English]
نویسندگان [English]
Background:
Situs inversus is often detected incidentally in adults during imaging for an acute surgical emergency. We present a case of acute appendicitis in an adult who was previously unaware about his situs anomaly. A laparoscopic approach is helpful to deal with this condition.
Case Report: A 16-year-old girl was admitted with history of acute abdominal pain. Clinically, she was diagnosed as acute appendicitis without any localized peritonitis. Subsequent imaging studies and lapartomy confirmed the diagnosis of situs inversus and acute left-sided appendicitis. She successfully underwent laparotomic appendectomy. Her postoperative recovery was uneventful. Morever, the patient had lagre and hemorragic cytes in every two ovaries that excisioned during the operation. Technically, more challenging because of the reverse laparoscopic view of the anatomy, the laparoscopic diagnosis and management of acute appendicitis is indicated in situs inversus.
Key words: Congenital Anomaly, Situs inversus totalis, Appendicitis, Laparotomy.