Situs inversus totalis

Case contributed by Dr Hidayatullah Hamidi

Presentation

Abdominal pain for about 20 days. Suspected acute pancreatitis.

Patient Data

Age: 35 years
Gender: Male
CT

Complete reverse position of the thoracic and abdominal viscera is noted:

  • liver, gall bladder and duodenum on the left side
  • spleen, gastric fundus and pancreatic tail on the right side
  • apex of the heart towards the right side with right side descending aorta
  • right bi-lobed lung and left tri-lobed lung

No CT evidence of acute pancreatitis.

Collapse and some bronchiectasis in the left middle lobe.

Case Discussion

Situs inversus totalis is a congenital anomaly when there is a total transposition of abdominal and thoracic viscera (mirror image of the normal position of the internal organs).

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Case information

rID: 57319
Published: 20th Dec 2017
Last edited: 16th Jul 2018
System: Cardiac
Inclusion in quiz mode: Included

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