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Images in Clinical Medicine

Kim Eagle, M.D., Editor

Situs Inversus

Allan D. Spigelman, F.R.A.C.S.

N Engl J Med 1994; 330:606March 3, 1994

Article

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.

Kim Eagle, M.D.

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

Citing Articles (1)

Citing Articles

  1. 1

    Hernanz-Schulman, Marta, . (1994) Situs Inversus?. New England Journal of Medicine 331:3, 205-205
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