Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature

Nawaz, Akhtar; Matta, Hilal; Hamchou, Mustafa; Jacobez, Alic; Trad, Omar; Salem, Ahmed H. Al

doi:10.1007/s00383-005-1412-y

Cited by 37 publications

(40 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dextrocardia with situs inversus is a rare condition occurring in about one per 10,000 in the general population 3 There is no racial predilection for situs inversus and the male-to-female incidence is 1:1. This anomaly may not be diagnosed until late in life in some cases and it is associated with primary ciliary dyskinesia and splenic malformations in some individuals 3 The arrangements of the position of the abdominal viscera in dextrocardia may be normal (situs solitus), reversed (situs inversus), and indeterminate (situs ambiguous or isomerism) in 32-35%, 35-39% and 26-28% of cases respectively 4 Though the exact cause is unknown, dextrocardia has been linked with a number of factors including autosomal recessive gene with incomplete penetrance, maternal diabetes, cocaine use and conjoined twinning.…”

Section: Discussionmentioning

confidence: 99%

“…This anomaly may not be diagnosed until late in life in some cases and it is associated with primary ciliary dyskinesia and splenic malformations in some individuals 3 The arrangements of the position of the abdominal viscera in dextrocardia may be normal (situs solitus), reversed (situs inversus), and indeterminate (situs ambiguous or isomerism) in 32-35%, 35-39% and 26-28% of cases respectively 4 Though the exact cause is unknown, dextrocardia has been linked with a number of factors including autosomal recessive gene with incomplete penetrance, maternal diabetes, cocaine use and conjoined twinning. 5,6 The mechanism responsible for malrotation of intestinal loops is yet to be understood.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dextrocardia With Situs Inversus Totalis in an Adult Nigerian: a Case Report

Uchenna¹,

DE²

2012

AJMMS

View full text Add to dashboard Cite

Situs inversus with dextrocardia is the complete inversion of position of the thoracic and abdominal viscera. It may be isolated or associated with malformations, especially cardiac or alimentary. It may be discovered in infancy because of associated anomalies but often remains asymptomatic and discovered by chance in adult life. We report a 69 year old Nigerian woman found to have dextrocardia with situs inversus totalis while presenting for treatment for a totally unrelated problem. Her chest radiograph was however erroneously marked by the radiographer as normal resulting in a wrong report. The findings from an electrocardiogram and echocardiography confirmed the location of the heart in the right hemithorax and an abdominal sonogram showed the liver and gall bladder on the left side of the abdomen while the stomach and spleen were located on the right side. This report underscores the need for routine screening by individuals so that such congenital anomalies can be identified and surgical diagnoses in such patients made correctly to prevent surgical complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dextrocardia With Situs Inversus Totalis in an Adult Nigerian: a Case Report

Uchenna¹,

DE²

2012

AJMMS

View full text Add to dashboard Cite

show abstract

“…1 This anomaly may not be diagnosed until late life in some cases and it is associated with primary ciliary dyskinesia and splenic malformations. 3 It has been shown that the incidence of congenital heart malformations is higher in patients with dextrocardia and situs inversus than in patients with normal situs solitus. 2 This is due to the fact that dextrocardia with situs inversus is merely a mirror image of the normal situs solitus, 2 hence any associated cardiac malformations are usually mirror images of similar malformations in people with the normal situs solitus.…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with dextrocardia and situs inversus totalis may have associated congenital heart malformations 2 , primary ciliary dyskinesia or splenic malformations. 3 We describe a case of dextrocardia with situs inversus totalis in a one day old neonate with neonatal sepsis, the first case to be reported in Gusau, Zamfara State, Nigeria.…”

Section: Introductionmentioning

confidence: 94%

Incidental finding of dextrocardia with situs inversus totalis in a day old neonate: Case report and review of the literature

Garba¹,

Adelakun²,

Aminu³

et al. 2014

Nig. J. Paed.

View full text Add to dashboard Cite

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 neonatal sepsis. A day-old male term neonate presented with features of infection. 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. Bilateral cervical ribs were also seen on chest radiograph. He was managed with antib i o t i c s a n d d i s c h a r g e d .Newborn babies should have a thorough physical examination after delivery before discharge to enable early diagnosis of congenital anomalies for appropriate referral.

show abstract

“…The male to female ratio is 1:1 and there is no racial predilection. 12,13 It is characterized by the transposition of the major thoracic organs and all the visceral organs of the abdomen to opposite side of normal position in the body. The stomach and the spleen are on the right, while the liver and gall bladder are located on the left.…”

mentioning

confidence: 99%

Anesthetic management of a patient with situs inversus posted for laparoscopic cholecystectomy

Hazarika

Das

2017

Int J Res Med Sci

View full text Add to dashboard Cite

Situs inversus totalis is a rare congenital visceral malrotation anomaly that results from disturbances in establishment of left-right asymmetry. It is an autosomal recessive condition, in which organs are transposed from their normal location to the opposite side of the body and the predicted incidence is one in 10, 000 among the general population. In a patient with situs inversus totalis, not just the diagnosis of any acute abdomen pathology is difficult but equally challenging is the anesthetic management during the respective surgical procedure. We are reporting a patient who had situs inversus totalis and was operated for laparoscopic cholecystectomy under general anesthesia, and endotracheal tube as an airway conduit. Though the problems related to such patients are mainly of surgical feasibility, an anesthesiologist must be aware of the associated problems of both, situs inversus and the surgical procedures. The present case report lays an emphasis on the potential difficulties during anesthetic management and its various implications in a remote area in North East India with resource limitations. To the best of our knowledge, we report the first case from a remote are in North East India of a successful laparoscopic cholecystectomy in a patient with situs inversus totalis under general anesthesia which was uneventful.

show abstract

Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature

Cited by 37 publications

References 16 publications

Dextrocardia With Situs Inversus Totalis in an Adult Nigerian: a Case Report

Dextrocardia With Situs Inversus Totalis in an Adult Nigerian: a Case Report

Incidental finding of dextrocardia with situs inversus totalis in a day old neonate: Case report and review of the literature

Anesthetic management of a patient with situs inversus posted for laparoscopic cholecystectomy

Contact Info

Product

Resources

About