A Rare Case of Dextrocardia with Situs Inversus- Clinical Images
Abstract
Dextrocardia with Situs inversus is characterised by abnormal positioning of heart and viscera. In this condition visceral organs are mirrored i.e. liver is towards left side and spleen is on the right side (situs inversus). In addition to that apex of heart is towards the right side (dextrocardia). [1] The patient remains undiagnosed because they are usually asymptomatic and lead a normal life. A 30 year old female patient came to outpatient department (OPD) with complains of boil at anal region. Patient had no history of any other medical or surgical illness and she had a normal delivery one year back. On examination the patient was diagnosed as a case of subcutaneous fistula. Patient was advised to undergo surgery for fistula after routine investigation (Chest X-ray- PA view, X-ray abdomen in standing posture, ECG and blood test- haematological and biochemical). Chest X-ray showed Dextrocardia (Fig- 1), ECG showed inversion in the waves. X-ray abdomen revealed that the viscera were reversed that is liver was on the left side, fundal gas shadow was seen on the right side (Fig- 2). USG report confirmed situs inversus. So, the patient was diagnosed as the case of Dextrocardia with situs inversus. Patient was operated for fistula under spinal anesthesia and cured completely and enjoying her normal life after surgery. This patient was a normal healthy female with no history of any medical illness during investigation for the medical fitness she was diagnosed with dextrocardia with situs inversus. [2] This case report aimed at presenting a very rare condition with the clinical images.