Laparoscopic appendectomy in a female patient with situs inversus: case report and literature review.

Jonathan Y Song, J.Y. Song, Nasir Rana, Carlos A Rotman, Carlos Rotman
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2004 · vol. 8(2) , pp. 175–7 · PMID:15119665 · PMC3015541 · W2474306798
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a laparoscopic appendectomy performed on a patient with situs inversus and stage II pelvic endometriosis, finding the approach ideal for such anatomical variations.

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Abstract

BACKGROUND: Situs inversus is an uncommon condition caused by a single autosomal recessive gene of incomplete penetration. A potential diagnostic dilemma can occur in the young female patient with a history of situs inversus who presents with pelvic pain. METHODS: A 32-year-old multiparous patient with a known history of situs inversus presented with complaints of pelvic pain. A medical history and full physical examination were indicative of possible endometriosis. RESULTS: The patient underwent an operative laparoscopy, which revealed stage II pelvic endometriosis based on the American Fertility Society Revised Classification for Endometriosis (R-AFS), with appendicular and periappendicular adhesions involving the cecum. Ablation of endometriosis and an appendectomy were performed. CONCLUSION: The authors believe the laparoscopic approach to an appendectomy is ideal in a patient with situs inversus and should be performed at the time of laparoscopy performed for another reason.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Appendectomy Endometriosis Laparoscopy Situs Inversus Adult Appendectomy Endometriosis Endometriosis Female Humans Pelvic Pain Pelvic Pain Situs Inversus Tissue Adhesions Tissue Adhesions Tissue Adhesions Treatment Outcome

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