Abstract

Appendicitis is the most common cause of surgery in acute abdominal pain with a ratio of approximately 7. Situs inversus totalis is a rare condition in which orientation of all asymmetric organs is a mirror image of the normal one. A 24-year-old girl was referred into the emergency department with the acute left lower quadrant pain as chief complaint. Nausea and loss of appetite were also reported. Pain was persistent with no radiation. Left lower quadrant tenderness was obviously observed in physical examination. Throughout her routine chest x-ray, dextrocardia was discovered. Abdominal ultrasonography showed situs inversus totalis with inflamed appendix. Appendectomy was performed, and the patient was discharged after 5-day hospitalization with no complications anymore. Considering this, rare anomaly in acute abdomen in particular leads to early diagnosis and reduces complications such as perforation, abscess, and peritonitis as well as reduces hospitalization time.