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Situs Inversus Partialis: An Incidental Discovery in a Young Patient with Obstructed Left Inguinal Hernia


Jean Paul Rugambwa
Olivier Kubwimana
Jackson Nshimyiyera
Julien Gashegu

Abstract

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.
Rwanda J Med Health Sci 2026;9(1):247-251


Journal Identifiers


eISSN: 2616-9827
print ISSN: 2616-9819