Single-Incision Multi-Port Appendectomy for a Patient with Situs Inversus Totalis First case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 2
Abstract
Situs inversus totalis (SIT) is a rare autosomal recessive condition involving the complete lateral transposition of the organs. When individuals with this condition suffer from appendicitis, associated pain and symptoms are usually present on the left side, resulting in diagnostic difculties. Moreover, the laparoscopic removal of the left-sided appendix may pose practical problems during surgery. Removal of an inflamed appendix is generally performed using a multiple-port laparoscopy. We report a 22-year-old male who presented to the Lifeline Institute of Minimal Access Surgery in Chennai, India, in April 2015 with pain in the left iliac fossa. Chest X-rays and ultrasonography confrmed SIT with an acutely inflamed appendix on the left side. Te patient underwent a single-incision multi-port laparoscopic appendectomy with a successful outcome. To the best of the authors’ knowledge, this is the frst report in the literature of a single-incision multi-port appendectomy in a patient with SIT.
Authors and Affiliations
Rajkumar J. S. | Department of Surgery, Lifeline Institute of Minimal Access Surgery, Chennai, Tamil Nadu, India, Akbar Syed| Department of Surgery, Lifeline Institute of Minimal Access Surgery, Chennai, Tamil Nadu, India, Anirudh J. R. | Department of Surgery, Lifeline Institute of Minimal Access Surgery, Chennai, Tamil Nadu, India, Kishor C. M. | Department of Surgery, Lifeline Institute of Minimal Access Surgery, Chennai, Tamil Nadu, India, Deepa Ganesh| Department of Surgery, Lifeline Institute of Minimal Access Surgery, Chennai, Tamil Nadu, India
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