Updated date: 05/29/2024 05:26:19
The girl's heart and stomach are on the right side, while her liver and appendix are on the left, which is completely opposite to normal.
A few days before being admitted to the hospital, the girl had intermittent abdominal pain but did not go to the doctor. The pain gradually increased in the left iliac fossa, vomiting, epigastric pain, then spread to the lower abdomen with fever.
Master, Doctor Phung Van Quyen - Department of Digestive Surgery, Hospital E, said that the patient was admitted to the hospital with obvious signs of appendicitis such as severe abdominal pain in the iliac fossa, nausea, increasing and continuous pain, pain moving down to the lower abdomen. However, the patient had pain in the left iliac fossa, while in normal people, the symptoms of appendicitis are usually from the right iliac fossa.
Doctor checks patient's health (Photo: BVCC)
Through clinical examination and test results, abdominal ultrasound, and abdominal CT scan, doctors determined that the patient had localized peritonitis due to purulent appendix on the background of the patient having rare situs inversus.
The patient's heart and stomach are on the right side, while the liver and appendix are on the left side, completely opposite to normal.
According to Dr. Quyen, situs inversus can be complete or just a few organs. This is a rare malformation, with a rate of about 0.001% - 0.01%. Of these, about 5 - 10% have congenital heart defects, about 4% of situs inversus cases may have appendicitis, the rest have a completely normal life, with no impact on health.
Doctor Mai Van Luc - Department of Urology and Andrology Surgery, E Hospital, said that surgery on a patient with complete anatomical situs inversus will have many risks and difficulties when making a diagnosis.
Firstly, when performing a clinical examination, the doctor only examines the right side, ignoring the left side, which risks missing lesions, leading to late appendicitis causing peritonitis or appendiceal rupture.
Second, in surgery, for patients with situs inversus, doctors will have to perform the reverse operations. In this case, during laparoscopic surgery, doctors discovered that the entire colon, liver, spleen, stomach, and appendix were all reversed. The patient's appendix was twisted behind the cecum, so the appendix had to be removed retrogradely.
Appendicitis is an emergency condition and requires prompt treatment to avoid dangerous complications. For people with situs inversus, the diagnosis and treatment of appendicitis becomes more complicated and risky because it is easy to misdiagnose, because the pain location is also reversed compared to normal people.
According to NHU LOAN (VTC News)
Source
Comment (0)