SITUS INVERSUS TOTALIS IN AN ASYMPTOMATIC ADULT: A CASE REPORT

Dr. Harshvardhan Singh Rathore, Dr. Sarfaraz Shaikh, Dr. Tulsi Manek

Abstract


Situs inversus with dextrocardia also referred as Situs Inversus Totalis(SIT) is the complete inversion of position of the
thoracic and abdominal viscera.
It may be discovered in infancy because of associated anomalies but often remains asymptomatic and may be discovered incidentally in adult life
when a radiographic assessment of a patient is undertaken for some reason.
Incidence of SIT is approximately 1 : 10,000–40,000.
We here report a case of Situs Inversus Totalis (SIT) in a 45-year-old Indian woman who presented at our hospital for surgical fitness prior to her
surgery for umbilical hernia. There were no cardiac or respiratory symptoms.
There were no other significant history of acute or chronic symptoms. She had normal development of secondary sexual characteristics. Her
general physical examination was also normal.
The systemic examination was also normal except for the cardiac apex beat which was palpated and auscultated in the right 4th intercostal space
midclavicular line.
Chest radiography and Computerized Tomography of the abdomen were done prior to surgical fitness.


Keywords


Situs Inversus Totalis, Dextrocardia, Situs Solitus, Situs Ambigus

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