Dextrocardia with Situs Inversus Totalis - A Rare Anatomical Variation: A Case Report
DOI:
https://doi.org/10.48165/Keywords:
Situs inversus totalis, Anatomical, Sagittal plane, Syndrome, Abdominal organAbstract
A 35-year-old female dead body was brought to the mortuary for post-mortem examination as a burn case. During examination, incidentally, we found that there was an anatomical variation termed as situs inversus totalis. The term situs inversus is a short form of the Latin phrase ‘situs inversus viscerum’, meaning inverted position of the internal organs. The situs inversus totalis is a rare syndrome, with an estimated prevalence of 1 in 10,000 births, characterised by the inverted position of the thoracic and abdominal organs with respect to the sagittal plane. Situs inversus totalis, a not so uncommon congenital positional anomaly, can be a diagnostic problem at times. The condition affects all major structures within the thorax and the abdomen. Surgeons and radiologists need to be aware of this anomaly during preoperative and surgical management. Routine premedical examination helps the patient to be aware of his/her condition, thereby preventing wrong diagnosis and possibly death due to delay in surgical management; it can also be used as an identification parameter.
Downloads
References
1. Sharma S, Chaitanya KK, Suseelamma D. Situs inversus totalis (dextroversion) - An anatomical study. Anat Physiol 2012; 2: 112.
2. Supriya G, Saritha S, Madan S. Situs inversus totalis - A case report. J Appl Phys 2013; 3: 12-16.
3. Yokoyama T, Copeland, Jenkis NA, Montgomery CA, Elder FF, Overbeek PA. Reversal of left- right asymmetry: a situs inversus mutation. Science 1993; 260: 679-82.
4. Gedda L, Sciacca A,Villatico S, Bonanni G, Gueli N, Talone C. Situs viscerum specularis in monozygotic twins. Acta Genet Med Gemellol 1984; 33: 81-5.
5. Gindes L, Hegesh J, Barkai G, Jacobson JM, Achiron R. Isolated levocardia: prenatal diagnosis, clinical importance, and literature view. J Ultrasound Med 2007; 26: 361-5.
6. Tabry IF, Calabrese J, Zammar H, Abou-Kasem K, Akeilan H, Gharbieh N, et al. Case report: off-pump total myocardial revascularization for dextrocardia and situs inversus. Heart Surg Forum 2001; 4: 251–3.
7. Nawaz A, Matta H, Hamchou M, Jacobez A, Trad O, Al Salem AH. Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of literature. Pediatric Surg Int 2005; 21: 589–92.
8. Kamitani S, Tsutamoto Y, Hanasawa K, Tani T. Laparoscopic cholecystectomy in situs inversus totalis with “inferior” cystic artery: a case report. World J Gastroenterol 2005; 11: 5232–4.
9. Abdur-Rahman LO, Adeniran JO, Taiwo JO. Concurrent dextrogastria, reverse midgut rotation and intestinal atresia in a neonate. J Indian Assoc Paediatr Surg 2007; 12: 228–30.
10. Nawaz H, Matta M, Hamchou A, Jacobez AH, Salem A. Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature. Pediatr Surg Int 2005; 21: 589-92.
11. Treiger BFG, Khazan R, Goldman M, Marshall FF. Renal cell carcinoma with situ inversus. Urology 1993; 41: 455-7.
12. Ofusori DA, Okwuonu CU, UDE RA, Adesanya OA. Dextrocardia and situs inversus totalis in a Nigerian cadaver: A case report of rare anomaly. Int J Morphol 2009; 27: 837-40.
13. Danbauchi SS, Alhassan MA. Dextrocardia with situs inversus: two cases presenting differently. Niger Postgrad Med J 2002; 9: 248-52.
