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Situs inversus

Case contributed by Aiyapa Aruna Ajjikuttira
Diagnosis certain

Presentation

Single episode of painless microscopic hematuria with cross sectional CT imaging undertaken as part of workup.

Patient Data

Age: 50 years
Gender: Female

CT abdomen and pelvis

ct
  • incidental finding of situs inversus totalis and dextrocardia
  • small hepatic cyst in segment 6 of liver
  • small splenic hilum cyst
  • nil renal calculi, hydronephrosis or obvious renal masses

Case Discussion

A 50 year old lady presented with a single episode of painless microscopic hematuria. As part of her workup, she underwent cross-sectional imaging which showed incidentally imaged situs inversus totalis and dextrocardia.

This case clearly illustrates this rare phenomenon. The patient had no symptoms arising from her situs inversus totalis, and proceeded to have an unremarkable hematuria workup.

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