Khudhayr Essa A, Ali Abdullah A, Alameer Ehab
General Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, SAU.
Surgery, Faculty of Medicine, Jazan University, Jazan, SAU.
Cureus. 2022 Apr 23;14(4):e24426. doi: 10.7759/cureus.24426. eCollection 2022 Apr.
Acute appendicitis classically elicits right-sided abdominal pain. Abdominal pain in patients with situs inversus may create a diagnostic challenge. We share a case of a seven-year-old boy who presented to the emergency department with left lower quadrant abdominal pain and tenderness. A chest x-ray showed dextrocardia and an abdominal ultrasound confirmed left-sided appendicitis. Diagnostic laparoscopy and appendectomy were uneventful. Thorough peri-operative evaluation and planning are key to a successful outcome in this rare condition.
急性阑尾炎典型地会引发右侧腹痛。内脏转位患者的腹痛可能会带来诊断挑战。我们分享一例七岁男孩的病例，他因左下腹腹痛和压痛就诊于急诊科。胸部X光显示右位心，腹部超声证实为左侧阑尾炎。诊断性腹腔镜检查和阑尾切除术过程顺利。在这种罕见情况下，全面的围手术期评估和规划是取得成功结果的关键。
