Left Sided Appendicitis: Review of 17 Cases
S. N. Jatal *
Jatal Hospital and Research Centre, Latur, India.
Sudhir Jatal
Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.
Shubhangi Jatal
Department of Gynaecologist, BT Hospital, Jogeshwari, Mumbai, India.
Supriya Jatal
Department of Nephrology, MGM hospital & College, Navi Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Left-sided appendicitis is a rare condition caused by congenital abnormalities such as situs inversus totalis (SIT) or midgut malrotation (MM). In some cases, an unusually long appendix on the right side may extend into the left lower quadrant of the abdomen, leading to an atypical presentation.
Patients typically present with pain in the left lower quadrant of the abdomen, along with nausea, vomiting, and fever. Diagnosis is based on well-established clinical symptoms, supported by radiological findings from ultrasonography, CT abdomen, and chest X-ray to detect dextrocardia. Diagnostic laparoscopy may also be performed for confirmation.
We report 17 cases of left-sided appendicitis, At Jatal Hospital and Research Centre, Latur, Maharashtra, India. Our 35 years of surgical experience, 12 patients underwent open laparotomy, while 5 patients underwent laparoscopic surgery. All procedures were performed successfully, with no morbidity or mortality.
Keywords: Left sided appendicitis, midgut malrotation, situs inversus totalis, left lower quadrant pain