گزارش يك مورد نادر جابه جايي كامل احشاء شكمي با درد ناحيه ي چپ شكم

A Case Report of "Total Situs Inversus" with An Abdominal Left Lower Quadrant Pain

Introduction: Left lower quadrant pain refers to different sources including left sided appendicitis with a total situs inversus (TSI) and Intestinal Malrotation. Materials & Methods: In this case report, the patient was a 24years old woman referred to emergency department of Imam Khomeini hospital of Ilam. She had left lower quadrant (LLQ) abdominal pain, nausea and loss of appetite. In physical examination, she had revealed localized left lower quadrant abdominal tenderness without muscle guarding or rebound tenderness. Findings: The abdominal ultra-sound showed the total situs inversus abdominal and enlarged dappendix with inflammatory changes. Throughout her laparotomy, the TSI was confirmed, the appendix was intensely inflamed (9 mm in diameter) and the 3 Laddʹs band was found in small intestine which was released. Discussion & Conclusion: Early diagnosis of such rare anomalies, particularly in acute abdomens, will result in a reduction of complications such as perforation, abscess and peritonitis and finally the hospitalization duration.