Situs inversus with pneumothorax

Case contributed by Dr Gagandeep Singh
X-ray

Right pneumothorax. Dextrocardia and right-sided gastric bubble is suggestive of situs inversus

Large pneumothorax on the right with almost complete collapse of the right lung. The heart and aorta are in the right hemithorax. Gastric air bubble is beneath the right diaphragm and the liver is beneath the left hemidiaphragm.

Case Discussion

Situs inversus is a term used to describe the inverted position of chest and abdominal organs.

Pneumothorax, like on this case, typically demonstrates on radiograph with:

  • visible visceral pleural edge see as a very thin, sharp white line
  • no lung markings are seen peripheral to this line
  • the peripheral space is radiolucent compared to adjacent lung 
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Case information

rID: 8495
Case created: 6th Feb 2010
Last edited: 5th Apr 2017
System: Chest
Inclusion in quiz mode: Included

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