Rwanda journal of medicine and health sciences · 2026
Situs Inversus Partialis: An Incidental Discovery in a Young Patient with Obstructed Left Inguinal Hernia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Rugambwa Jean Paul, Kubwimana Olivier, Nshimyiyera Jackson, Gashegu Julien
Аннотация
BACKGROUND: Situs inversus is a rare condition that can create diagnostic and management challenges for clinicians.
CASE PRESENTATION: We present a case of a young male patient who showed clinical and radiological signs of proximal bowel obstruction. During exploratory laparotomy, a viable small bowel loop was found trapped in the left inguinal canal. An incidental partial situs inversus was also discovered during the procedure. An appendectomy and left inguinal hernia repair were carried out using an intraperitoneal approach. The patient's postoperative course was uncomplicated, with no immediate or long-term complications reported. Follow-up assessment confirmed sustained recovery and well-being.
CONCLUSION: It is crucial to maintain a high index of suspicion for situs inversus partialis in patients with left-sided abdominal pain, along with comprehensive evaluation and surgical planning.
CASE PRESENTATION: We present a case of a young male patient who showed clinical and radiological signs of proximal bowel obstruction. During exploratory laparotomy, a viable small bowel loop was found trapped in the left inguinal canal. An incidental partial situs inversus was also discovered during the procedure. An appendectomy and left inguinal hernia repair were carried out using an intraperitoneal approach. The patient's postoperative course was uncomplicated, with no immediate or long-term complications reported. Follow-up assessment confirmed sustained recovery and well-being.
CONCLUSION: It is crucial to maintain a high index of suspicion for situs inversus partialis in patients with left-sided abdominal pain, along with comprehensive evaluation and surgical planning.