Acute Cholecystitis With Situs Inversus Totalis

Merrill, Rebecca; Septaric, Kristen; Simon, Erin L.

doi:10.1016/j.jemermed.2021.11.022

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…In emergency situations, where quick decision-making is essential, healthcare providers must be aware of SIT. This knowledge is essential for accurate diagnosis and treatment planning to prevent errors and ensure timely interventions [ 8 , 38 , 39 ]. Understanding a patient's unique anatomy due to situs inversus totalis helps anticipate potential challenges and variations in symptoms, leading to improved patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Dextrocardia with Situs Inversus: A Rare Condition and Its Clinical Importance

Deshimo,

Abebe,

Damtew

et al. 2024

Case Reports in Medicine

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Situs inversus totalis (SIT) is a rare medical condition characterized by a complete mirror-image reversal of the normal positioning of the internal organs. Aristotle initially described situs inversus in animals, while Fabricius first characterized it in humans. Although the specific cause is uncertain, there is evidence of autosomal recessive and X-linked inheritance. Before seeking treatment for an unrelated ailment, many people with SIT are unaware of their distinct anatomy, as in our case. The presented case is a 30-year-old female patient from Central Ethiopia, presented to Hakim Gizaw Teaching Hospital outpatient department of medicine with the complaint of right-sided anterior chest pain for five days. Clinically, the apical beat was heard in the right 5th intercostal space. After undergoing an electrocardiogram (ECG), echocardiogram, chest X-ray, and abdominal ultrasound, she was diagnosed with situs inversus totalis. The clinical implications of SIT encompass challenges in diagnosis and procedures, potential congenital cardiac abnormalities, considerations for organ transplantation, and clinical decision-making, particularly in emergency scenarios. Key Clinical Messages. This case highlights the clinical implications of dextrocardia with situs inversus totalis, emphasizing the importance of awareness for accurate diagnosis, procedural challenges, and informed clinical decision-making. Understanding this rare condition is crucial for providing appropriate medical care and to navigate potential complications in affected individuals.

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Section: Discussionmentioning

confidence: 99%

A Case Report of Dextrocardia with Situs Inversus: A Rare Condition and Its Clinical Importance

Deshimo,

Abebe,

Damtew

et al. 2024

Case Reports in Medicine

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Left-sided cholecystitis in a patient with situs inversus totalis, complicated by portal venous malformations

Suvarna,

Gupta,

Amtul

2023

Journal of Surgical Case Reports

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Situs inversus totalis (SIT) is a rare autosomal recessive anomaly in which the thoracoabdominal viscerae are laterally transposed, introducing unique challenges in surgical scenarios. Only a few reports have demonstrated the treatment of cholecystitis in situs inversus, much less so in the context of portal vascular anomalies. We present the case of a 41-year-old female presenting to the emergency department with right upper quadrant pain, and subsequently found to have left-sided cholecystitis complicated by SIT with portal venous malformations on magnetic resonance cholangiopancreatography and abdominal computed tomography. Initially, she was referred for open cholecystectomy however due to the lack of symptoms and the presence of a tortuous recanalized portal vein presenting multiple thrombotic complications, an expectant approach was adopted. Thus, imaging remains the gold-standard to diagnose SIT and consideration of all congenital risk factors to cholecystectomy is crucial to avoid post-operative complications.

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Acute Cholecystitis With Situs Inversus Totalis

Cited by 2 publications

References 4 publications

A Case Report of Dextrocardia with Situs Inversus: A Rare Condition and Its Clinical Importance

A Case Report of Dextrocardia with Situs Inversus: A Rare Condition and Its Clinical Importance

Left-sided cholecystitis in a patient with situs inversus totalis, complicated by portal venous malformations

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