Open appendectomy for left sided acute appendicitis in a young patient with situs inversus totalis.

Primary appendicitis presenting in left side is uncommon. Diagnosis is dependent on index of suspicion which is high. We present to you a case of left-sided appendicitis. Appendix was visualized as a long, tubular, edematous, inflamed structure in left lower quadrant with the whole of the colon present in the same region. Commuted tomography is useful in providing accurate diagnosis of acute appendicitis and in detecting rotational abnormalities.