Situs inversus

Case contributed by Dr Mostafa El-Feky


Abnormality diagnosed first on US abdomen basis incidentally and was referred to CT for further assessment. History of diabetes mellitus.

Patient Data

Age: 20 years
Gender: Male

CT Abdomen

The abdominal organs (liver, spleen and small intestine) showed inverted position as well as the heart (dextrocardia). Incidental segment VI hepatic hemangioma.

Case Discussion

In this case, there is incidetal total transposition of abdominal and thoracic viscera (mirror image) consistent with situs inversus totalis. It is a congenital condition, usually asymptomatic if not associated with other diseases as congenital heart diseases and kartagner syndrome. Most of the cases show complete affection of thoracic and abdominal viscera known as situs inversus totalis. other rare forms can happen as situs ambiguus or heterotaxy.

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Case information

rID: 44392
Published: 17th Jun 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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