PMC7876688_01
a-d) preoperative radiological findings with situs viscerum inversus totalis; e-f) dilated appendix in the left iliac fossa with calcic coprolites into the lumen and discrete pelvic effusion (arrows).
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CT scan showed a situs viscerum inversus and the presence of a dilated appendix in the left iliac fossa with calcic coprolites into the lumen and discrete pelvic effusion (Fig. 1).
Details of surgical procedure: a-c) exploratory laparoscopy confirmed situs viscerum inversus totalis with mirror images of stomach, liver and caecum; d) appendix was dilated and inflamed; e) we dissected mesoappendix and identified appendicular artery that was cauterized with bipolar forceps; f) the appendix was sectioned after using endoloop.
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Exploratory laparoscopy confirmed the CT findings of situs viscerum inversus (Fig. 2).