Situs inversus

Case contributed by Aditya Shetty
Diagnosis probable

Presentation

routine x-ray

Patient Data

Age: infant
Gender: Male
x-ray

X-ray of an infant shows a right sided cardiac apex (dextrocardia), fundic bubble and splenic flexure of colon.

This is a mirror image of situs solitus ie. same findings on the left side 

Case Discussion

Dextrocardia with situs inversus

Jumping to a conclusion is a bad idea. This is what one must do next

  • Check the marker 1st.
  • Check with the technician if the film was flipped while filming
  • Call the patient and confirm on sonography 

 

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