Acute Appendicitis and Situs Inversus Totalis: A Case Report

Abstract: Situs inversus is a rare congenital anomaly that results in transposition of abdominal organs, leading to atypical clinical manifestations, such as left-sided appendicitis. Its occurrence on the left is extremely rare and often results in diagnostic delays, which can lead to serious complications if not treated promptly. Imaging, particularly computed tomography (CT), plays a vital role in pathological diagnosis, thus guiding appropriate surgical management. We present the case of a 51-year-old female patient with no previous pathological history admitted for left iliac fossa pain. A CT scan revealed situs inversus with high left appendicitis, justifying a laparotomy appendectomy in the absence of laparoscopy in the emergency department.