Challenges Associated With Diverticular Bleeding in an Elderly Female Patient With Situs Inversus Totalis: A Case Report and Literature Review

Diverticulitis is a relatively common condition in gastroenterology. It is most often presented by inflammation of one or more diverticula, depending on their presence in the colon, and by abdominal pain and bleeding. Bleeding from the diverticulum has a wide range of clinical manifestations, which in a certain percentage of cases can have a very unfavorable course and prognosis. Situs inversus totalis (SIT) is a congenital condition with multiple, predominantly positional abnormalities of the organs in relation to their anatomical positions. Unlike bleeding from the diverticulum, SIT occurs very rarely, and cases of diverticulitis and accompanying bleeding from the diverticulum in SIT are extremely rare; there are only a handful of cases described in the literature. In this study, we present the diagnostic challenge of identifying and treating diverticulitis in an elderly patient with SIT and accompanying chronic comorbidities.