Situs inversus totalis is a condition in which both the abdominal and thoracic organs are located as perfect minor images of their normal position. This is not a common condition, but at the same time, an important one since it is associated with various important pathologic conditions as are male infertility and Kartagener's syndrome. At the same time, this condition has very important consequences if it starts with acute manifestations. A male patient goes to the emergency room with a history of abdominal pain. Physical examination reveals rebound tenderness in the left lower quadrant. Laboratory and image studies confirm the diagnosis of situs inversus totalis and acute appendicitis. Recognizing situs inversus and it's medical implications become great important to primary care physicians.
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References
Jorde, Lynn, PhD, et al. Medical Genetícs. 2d ed. Mosby. Philadelphia. 1999:213-214
D.N. Kennedy PhD et al. Structural and Functional Brain Asymmetries in Human Situs Inversus Totalis. Neurology. 1999 October 12; 53(6); 1260-5.
Beherman et al. Nelson: Textbook of Pediatrics. Cap. 417.2000. W.B. Saunders Company. Philadelphia
Liu CD, McFadden DW. Acute abdomen and appendix. In: Greenfield LJ, et aL, eds. Surgery: scientific principles and practice. 2d ed. Philadelphia: Lippincott-Raven, 1997:1246-61
Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990; 132:910-25.
Schwartz SI. Appendix. In:Schwartz SI, ed. Principles of surgery. 6th ed. New York:McGraw Hill, 1994:130718.
Southam J: Left-sided gallbladder: Calculous colecistitis with situs inversus. Ann. Surg. 1975; 182:135-137
Ruken G. Templeton J, Ziegler M: Situs inversus: The complex inducing neonatal intestinal obstruction. J. Pediatr. Surg. 1983; 18: 751-756
Wood G, Black A: Situs inversus totalis and disease of the biliary tract: Survey of the literature and report of a case. Arch Surg 1936; 32:131-135.
Janchar Timothy, et al.: Situs Inversus: Emergency evaluations of atypical presentations. Am Journal Emergency Medicine. Vol 18. N°3. May 2000.
