Kartagener syndrome

Case contributed by Wayland Wang
Diagnosis almost certain

Presentation

Cough. Known ciliary diskinesia and situs inversus.

Patient Data

Age: 17 years
Gender: Male
x-ray

Features of Kartagener syndrome noted again (situs inversus and bronchiectasis). The lungs are otherwise clear.

Case Discussion

When faced with a case of possible dextrocardia, one should begin by checking the labeling to ensure the case hasn't simply been put up backwards. Sometimes, extreme patient rotation or pathology may result in a distorted placement of the mediastinum. If left with no other option, then checking the position of the abdominal organs (stomach bubble and diaphragmatic impression the liver) is important to establish the situs status of the patient.

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