• Surg Laparosc Endosc · Oct 1998

    Case Reports

    Suspected appendicitis in situs inversus totalis: an indication for a laparoscopic approach.

    • S Contini, R Dalla Valle, and R Zinicola.
    • Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo, Università di Parma, Italy.
    • Surg Laparosc Endosc. 1998 Oct 1; 8 (5): 393-4.

    AbstractWe report a case of acute appendicitis in situs inversus treated by laparoscopy. In our opinion, diagnostic laparoscopy is indicated if acute appendicitis is suspected in a patient with situs inversus totalis, either because the pain can be referred to the right iliac fossa in about 50% of the patients, or because the incision in open surgery cannot be sufficient to allow complete exploration of the abdomen. The operation can then be carried out laparoscopically if possible; if not, an appropriate surgical incision can be made.

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