Tovar-Rodríguez CA, Pacheco-Trujillo E, Cruz-Méndez AT, Cardos-Dzul EF

Language: Spanish
References: 6
Page: 20-22
PDF size: 260.35 Kb.

ABSTRACT

Introduction: the diagnosis of situs inversus (SI) goes unnoticed in approximately 45% of the cases: once arrived to the diagnosis, incidentally during the intraoperative period or as finding imaging.
Clinical case: we present a left-sided acute appendicitis case diagnosed in the General Hospital of Chetumal, which corresponds to a 42-year-old woman, admitted with acute abdomen clinical data and whose diagnosis of situs inversus was intraoperative.
Discussion: it is necessary to perform a clinical history proper with a thorough physical examination to suspect the diagnosis, and then confirm this by means of imaging (rays X, ultrasound or CT scan) in order to properly plan the surgical strategy that suits the patient and the surgeon, to avoid risks or complications during the surgery.

REFERENCES

1. Melchor JM, Situs inversus: Reporte de 2 casos; Cir Ciruj 2000; 68: 72-75.

2. Maldjian PD, Saric M. Approach to dextrocardia in adults. Am J Roentgenol [en línea] 2007 Jun [fecha de acceso 3 de noviembre de 2009]; 188(6): 39-49.

3. Gindes L, Hegesh J, Barkai G, Jacobson JM, Achiron R. Isolated levocardia: prenatal diagnosis, clinical importance, and literature. J Ultrasound Med [en línea] 2007 Mar [fecha de acceso 28 de octubre de 2009]; 26(3): 361-365.

4. Wood CO, Blalock A. Situs inversus totalis and disease of biliary tract: survey of literature and report case. Arch Surg 1940: 40.

5. Blegen HM. Surgery in situs inversus. Ann Surg 1949; 129: 244-259.

6. Verano NR, Merkin RJ. Situs inversus: review of literature. Report of four cases an analysis of the clinical implications. J Int Surg 1960; 33: 131-148.