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Images in Clinical Medicine
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Volume 330:606 March 3, 1994 Number 9
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Situs Inversus

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Figure 1


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Figure 1. Situs Inversus.

A chest film was obtained in an 11-year-old girl who presented with pain and tenderness of the left iliac fossa. Chest auscultation revealed right-sided heart sounds. The position of the heart suggested situs inversus totalis. The left iliac fossa was incised to remove an acutely inflamed appendix. Other causes of left-sided appendicitis include situs inversus indeterminus (only the abdominal contents are transposed), a mobile cecum, and a very long appendix.

 


Allan D. Spigelman, F.R.A.C.S.
St. Mary's Hospital Medical School
London W2, United Kingdom


Related Letters:

Situs Inversus?
Hernanz-Schulman M.
Extract | Full Text  
N Engl J Med 1994; 331:205, Jul 21, 1994. Correspondence

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