Dextrocardia with situs inversus are rare congenital anomalies which can be asymptomatic and compatible with normal life. They are characterized by mirror images of all intra-thoracic and intra-abdominal viscera. Our aim is to report an incidental finding of dextrocardia with situs inversus in a neonate with sepsis and also to report other associated anomalies with it. Most cases of situs inversus have been reported either in adults or in cadavers during dissection. Very few in number have been detected in neonates. Here is a one such case report. A day-old term male neonate presented with features of septic shock. Physical examination revealed cardiac apex on the 4th right intercostal space, along the mid-clavicular line. Chest radiograph and abdominal ultrasound confirmed the diagnosis of dextrocardia with situs inversus along with renal agenesis and ectopia.