Abnormality diagnosed first on US abdomen basis incidentally and was referred to CT for further assessment. History of diabetes mellitus.
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The abdominal organs (liver, spleen and small intestine) showed inverted position as well as the heart (dextrocardia). Incidental segment VI hepatic hemangioma.
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.