Acute Appendicitis in Situs Inversus: A Case Report

急性闌尾炎於內臟逆位：病例報告

林鉷彬(Hung-Bun Lam) ； 劉滄柏(Tsang-Pai Liu) ； 鄭國祥(Kuo-Shyang Jeng)

《中華民國急救加護醫學會雜誌》 9卷4期 (1998/12) Pp. 171-174

https://doi.org/10.30018/JECCM.199812.0008

摘要

內臟逆位甚為罕見。依據不同的統計方法，其發生率約為十萬分之二至千分之一。本文描述一位三十歲男性，主訴右下腹部疼痛已二日。腹部觸診發現右下腹明顯壓痛。此病患於手術中才被診斷為內臟逆位。右側McBurney切口擴大後，而將左側盲腸順利切除。術前診斷的誤判，主要肇因於胸部X光並未發現右偏心臟，與粗略的理學檢查。

關鍵字

內臟逆位 ； 急性闌尾炎 ； 右偏心臟

並列摘要

Situs inversus viscerus is a rare condition’. We report on a 30 year old male who presented with a 2 day history of right lower quadrant pain. On examination, there was marked tenderness in the right lower quadrant. The diagnosis of situs inversus was confirmed during surgery. A left-sided appendix was removed through an extended right McBurney incision. Failure to recognize dextrocardia on the chest roentgeno gram and not identifying liver dullness on the left led to an incomplete preoperative diagnosis in this case.

並列關鍵字

situs inversus viscerus ； acute appendicitis ； dextrocardia