Dextrocardia is an unusual inherent positioning of the heart: during fetal life, the heart is flipped to the right side rather than the usual left side. Situs inversus is a rare congenital ailment in which the main internal organs are rearranged or reflected from their natural positions, and when both conditions are present, it is called situs inversus totalis. The majority of the people with situs inversus totalis are unaware of the situation they have because most of them are asymptomatic. It is usually discovered incidentally when they consult the doctor for an unrelated condition. We are reporting a case of a 55-year-old woman who was found to have a situs inversus totalis with an absent left kidney.

The ISM methodology is used for finding barrier in the plant. The barrier affecting the continuous flow production rate are found out by mustering the information from the employees of the firm selected and then by using Interpretive structural modeling (ISM) the most prone Cause is found and the desired suggestions are being provided. This system is not only used in large scale manufacturing industry but also in the other medium and small scale manufacturing industry. The certain barriers find out which are affecting and arising continuous flow of production in the plant, and also we tried to eliminate these barriers first by prioritizing the Barriers which is affecting the process most number of times with help of ISM.