A CASE STUDY OF SITUS INVERSUS TOTALIS
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Abstract
Situs solitus refers to a normal visceral structure, whereas situs ambiguous refers to a situation in which the pattern of arrangement cannot be determined. Major visceral organs are reversed from their natural locations in situs inversus, a congenital variation.
It's called situs inversus totalis when it is associated with dextrocardia. We present a case of situs inversus totalis in a 43-year-old immunocompromised female patient referred to the Radiology Department of a military hospital in Makurdi, Benue State, in
the North Central region of Nigeria. The patient was referred for a chest x-ray on suspicion of mitotic disease, but an abdominal ultrasound was done in addition after the discovery of dextrocardia. Abdominal ultrasound and chest radiographs revealed transposition of major visceral organs and dextrocardia, respectively. In this present case study, abdominal structures revealed reversed anatomy of visceral organs. The liver and gallbladder were found on the left side of the abdomen, while the stomach and spleen were found on the right side. An additional abdominal radiograph was obtained to further clarify organ distribution in the abdomen. This case demonstrates a typical case of situs inversus totalis and further underlines the relevance of multiple medical imaging techniques in diagnosis. An early identification of this condition has profound implications for the future care and comparative imaging of patients. Most individuals with situs inversus can live a normal life without symptoms or disability. Finally, the authors suggest that radio diagnostic professionals employ consistent use of universally accepted imaging protocols, annotations, and image orientation as an important means of correctly identifying situs inversus totalis.
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References
1. Cissé M, Konaté I., Dieng, M., Ka, O., Touré, FB., Dia, A., Touré, CT. Appendicular peritonitis in situs inversus totalis: a case report. J. Med. Case Reports, 2020;4(1):1-3.
2. Yilmaz S., Demirtas, A., Tokpinar, A., Acer, N. Dextrocardia y situs inversus totalis en un sujeto turco: reporte de un caso. Int. J. Morphol, 2019;37(3):900-902
3. Radhika D., Rekha, NS., Mohan, KV. Dextrocardia with situs inversus–a case report Int. J. Anat Var, 2019;4:88-9.
4. Nelson MJ., Pesola, GR. Left Lower Quadrant Pain of Unusual Cause. The J. Emerg. Med, 2021;20(3):241-5.
5. Uchenna DI., Jesuorobo, DE., Anyalechi, JI. Dextrocardia with situs inversus totalis in an adult Nigerian: a case report. Am J. Med Sci. 2022; 2 (3): 59-61.
6. Abdur-Rahman LO., Adeniran, JO., Taiwo, JO. Concurrent dextrogastria, reverse midgut rotation and intestinal atresia in a neonate. J. Indian Assoc. Pedia. Surg, 2017;12(4):228.
7. Talabi AO., Sowande, OA., Tanimola, AG., Adejuyigbe, O. Situs inversus in association with duodenal atresia. Afr. J. Paedia. Surg, 2013; 10 (3): 275.
8. Batouty NM., Sobh, DM., Gadelhak, B., Sobh, HM., Mahmoud, W., Tawfik, AM. Left superior vena cava: cross-sectional imaging overview. Radiol Med, 2020;125(3):237–246.
9. Brown KM, Gundara JS, Mittal A. Acute Gastrointestinal Manifestation of Situs inversus abdominus. Hernia, 2017;21(4):649–651.
10. Calabria FF., Leporace, M., Bagnato, A. Situs inversus totalis and cholangiocarcinoma of the gallbladder detected by 18F-FDG PET/CT. Clin Nucl Med, 2018;43(6):439–440.
11. Chen LJ., Qiu, X., Sun, H., Xu, PF., Yin, FM., Xu, LJ. Two Types of Lungs Cancer with Situs Inversus Totalis: A Case Report and Review of the Literature. J. Int’l. Med. Res, 2020;48(5): 534-548.
12. Chen W., Guo, Z., Qian, L., Wang, L. Comorbidities in Situs Inversus Totalis: A HospitalBased Study. Birth Def. Res, 2020; 112:418-426.
13. Di-Buono G., Maienza, E., Buscemi, S., Randisi, B., Romano, G., Agrusa, A. Acute appendicitis in a patient with situs viscerum inversus totalis: role of laparoscopic approach. A case report and brief literature review. Int’l. J. Surg Case Rep, 2020; 77S:S29–S33.
14. Herrera-Ortiz. A.F., Lacouture, JC., Sandoval, MD., Gómez-Meléndez, LJ., Uscategui, R. Acute cholecystitis in a patient with situs inversus totalis: an unexpected finding. Cureus 2021;13(6): 638-647
15. Jasrotia R., Chauhan, G., Dhanjal, GS., Lohan, R. Dextrocardia and situs inversus totalis in a newborn- A rare case report. Int. J. Curr. Res., 2016;8(2):26934-7
16. Osarenkhoe J.O. (2022). Situs Inversus: A Review of 191 Published Cases. Open Journal of Internal Medicine, (12) 85-94.
17. Takeda T., Haraguchi, N., Yamaguchi, A. Laparoscopic sigmoidectomy in a case of sigmoid colon cancer with situs inversus totalis. Asian J. Endosc Surg 2019;12(1):111– 113.
18. Wilhelm, A. Situs inversus Imaging. Available from http://emedicine.medscape.com/article/413679-overview