Abunasser Bashar, Shabani Hisham Issa
Department of Surgery, Specialty Hospital, Jaber Ibn Hayyan St., Shmeisani, Amman 11193, Jordan.
J Surg Case Rep. 2024 Oct 17;2024(10):rjae605. doi: 10.1093/jscr/rjae605. eCollection 2024 Oct.
Situs inversus totalis is a rare congenital abnormality characterized by a mirror-image transposition of both the abdominal and the thoracic organs. Splenic infarctions are considered a rare cause of abdominal pain, although the exact prevalence is unclear. We present a rare case of a 62-year-old male who presented to the emergency department with abdominal pain and was found to have large splenic infarcts with situs inversus totalis on computed tomography. The patient was admitted and treated conservatively. In conclusion, diagnosing situs inversus in cases of emergency is important because patients will present with abnormally located symptoms, and splenic infarction should be kept in mind when considering the differential diagnosis of abdominal pain despite its rarity.
全内脏转位是一种罕见的先天性异常，其特征为腹部和胸部器官呈镜像转位。脾梗死被认为是腹痛的罕见原因，尽管确切患病率尚不清楚。我们报告一例罕见病例，一名62岁男性因腹痛就诊于急诊科，计算机断层扫描发现其患有大面积脾梗死且为全内脏转位。该患者入院后接受了保守治疗。总之，在急诊病例中诊断内脏转位很重要，因为患者会出现症状位置异常的情况，并且在考虑腹痛的鉴别诊断时，尽管脾梗死罕见，但仍应牢记。
