Acute abdominal symptoms as the first presentation of a patient with mirror-image dextrocardia with situs inverus.

This is the case of a 63 years old female that was admitted with abdominal pain mainly localized in the left lower quadrant, with diffuse radiation to the rest of the abdomen. It persisted for two days and worsened on the day of admission. It was associated with two episodes of vomiting and fever.