Situs inversus totalis with horseshoe kidney


The viscera normally seen on the right side are located on the left, and vice versa 1. The inverted position of abdominal organs in a mirror image 2 fashion is suggestive of situs inversus. Along with dextrocardia (as in this case), the condition is known as situs inversus totalis.

Accessory spleen or splenunculus (seen in this case) has an association with situs inversus 2.

The midline fused lower pole parenchyma of both kidneys is suggestive of a horseshoe kidney. Both kidneys are malrotated, and the left kidney is dysmorphic. Right-sided hydroureter is noted.