Department of Surgery, District Headquarter Hospital, Swabi

A 13 years old girl presented with complaint of pain in left iliac fossa associated with nausea and vomiting. There was tenderness and rebound tenderness on physical examinations. Total leucocyte count was 13000/cmm, urine examination, X-ray and KUB (Kidney and Urinary Bladder) was normal. The Patient was given antibiotic, analgesic and metranidazol but there was no improvement. The Patient was further investigated by abdominal Ultrasounds and X-ray Chest, which revealed Dexlrocardia and Situs Inversus. The Patient was explored by left transverse Subumbilical incision after a delay of 24 hours. The appendix was perforated. Appendectomy was performed peritoneal toilet was done with normal Saline. A drain was put in the Pelvis, which was removed on second postoperative day. The recovery was uneventful and the patient was discharged on 5`h postoperative day.

Article: Case Report

Keywords:

Appendectomy.
Situs Inversus.
Appendicitis.
Pelvis.
Vomiting.
Pain.
Cholecystitis.
Cholecystectomy, Laparoscopic.
Dextrocardia.

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