全内脏转位患者急性阑尾炎的左侧表现
Left-Sided Presentation of Acute Appendicitis in a Patient With Situs Inversus Totalis.
作者信息
Sous Bassem, Raidah Anisa, Syed Faiz, Jaramillo Nolberto, Olafisoye Toluwumi, Olsen Dean
机构信息
Emergency Medicine, Nassau University Medical Center, East Meadow, USA.
Surgery, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA.
出版信息
Cureus. 2023 Jun 22;15(6):e40839. doi: 10.7759/cureus.40839. eCollection 2023 Jun.
Situs inversus totalis (SIT) is a rare condition characterized by mirror-image reversal of the thoracoabdominal organs. Although appendiceal pain is typically located in the right lower quadrant, in SIT, this can occur in the left lower quadrant. We present a case of a 40-year-old male with no medical history who complained of acute left lower quadrant pain, nausea, and vomiting with no other symptoms. A computed tomography scan revealed SIT and left-sided acute appendicitis (LSAA), which was managed surgically. This case highlights the importance of including appendicitis in the differential diagnosis for left lower quadrant pain.
全内脏反位（SIT）是一种罕见的病症，其特征为胸腹器官呈镜像反转。虽然典型的阑尾炎疼痛位于右下腹，但在全内脏反位的情况下，疼痛可能出现在左下腹。我们报告一例40岁男性病例，该患者无病史，主诉急性左下腹疼痛、恶心和呕吐，无其他症状。计算机断层扫描显示为全内脏反位和左侧急性阑尾炎（LSAA），遂进行了手术治疗。该病例强调了在左下腹疼痛的鉴别诊断中纳入阑尾炎的重要性。
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