1
|
Ludvigsson JF, Håberg SE, Juliusson PB, Andersen AMN, Urhoj SK, Stephansson O. Three Scandinavian countries did not see the same increase in foetal situs inversus observed in China during the COVID-19 pandemic. Acta Paediatr 2024; 113:751-752. [PMID: 38308485 DOI: 10.1111/apa.17141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 01/24/2024] [Accepted: 01/25/2024] [Indexed: 02/04/2024]
Affiliation(s)
- Jonas F Ludvigsson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden
- Department of Pediatrics, Örebro University Hospital, Örebro, Sweden
| | - Siri Eldevik Håberg
- Centre for Fertility and Health, Norwegian Institute of Health, Oslo, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Petur B Juliusson
- Department of Health Registry Research and Development, Norwegian Institute of Health, Bergen, Norway
- Department of Clinical Science, University of Bergen, Bergen, Norway
| | | | - Stine Kjaer Urhoj
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Olof Stephansson
- Department of Medicine, Karolinska Institutet, Solna, Sweden
- Department of Women's Health and Division of Obstetrics, Karolinska University Hospital, Stockholm, Sweden
| |
Collapse
|
2
|
Guo Z, Li D, Zang X. Congenital hemivertebrae combined with situs inversus totalis: A rare case report. Medicine (Baltimore) 2024; 103:e37625. [PMID: 38552073 PMCID: PMC10977591 DOI: 10.1097/md.0000000000037625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 02/26/2024] [Indexed: 04/02/2024] Open
Abstract
RATIONALE Situs inversus totalis is a rare malposition of organs that typically involves lesions in the respiratory, circulatory, or urinary systems. Cases of congenital hemivertebrae combined with situs inversus totalis are extremely rare and have limited reports. PATIENT CONCERNS We report a 2.5 years old girl with 2 congenital hemipyramids and complete visceral inversion who ultimately underwent hemilaminectomy. DIAGNOSIS Congenital hemivertebrae combined with situs inversus totalis. INTERVENTION The patient underwent hemilaminectomy. OUTCOMES The spinal deformity was corrected. LESSONS For patient with spinal deformities combined with situs inversus totalis, surgery can be an effective treatment method. But we also need to be vigilant about the dysfunction of various systems.
Collapse
Affiliation(s)
- Zheng Guo
- Orthopedics Department of the Sixth Affiliated Hospital, School of Medicine, South China University of Technology, Foshan, China
| | - Donglai Li
- Orthopedics Department of the Sixth Affiliated Hospital, School of Medicine, South China University of Technology, Foshan, China
| | - Xuehui Zang
- Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan, People’s Republic of China
| |
Collapse
|
3
|
Liu X, Wu R, Tang Z, Zhu S. Situs inversus totalis combined with esophageal cancer and silicosis: A rare case report. Asian J Surg 2024; 47:781-783. [PMID: 37879985 DOI: 10.1016/j.asjsur.2023.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 10/06/2023] [Indexed: 10/27/2023] Open
Affiliation(s)
- Xiangjin Liu
- First Clinical Medical College, The Gannan Medical University, Ganzhou, China; Ganzhou Key Lab of Brain Injury & Brain Protection, Ganzhou, China
| | - Rongqian Wu
- First Clinical Medical College, The Nanchang University, Nanchang, China
| | - Zhixian Tang
- Department of Thoracic Surgery, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China; Ganzhou Key Lab of Brain Injury & Brain Protection, Ganzhou, China.
| | - Shenyu Zhu
- Department of Thoracic Surgery, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China; Ganzhou Key Lab of Brain Injury & Brain Protection, Ganzhou, China.
| |
Collapse
|
4
|
Tian B. Situs inversus totalis combined with polysplenia syndrome and malrotation of the ectopic kidney diagnosed by CT: A rare case report. Asian J Surg 2024; 47:837-838. [PMID: 37925289 DOI: 10.1016/j.asjsur.2023.10.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 10/13/2023] [Indexed: 11/06/2023] Open
Affiliation(s)
- Bin Tian
- Department of Medical Imaging, The Second People's Hospital of Guizhou Province, Guiyang, 550004, China.
| |
Collapse
|
5
|
Gerrits R, Vingerhoets G. Brain functional segregation, handedness and cognition in situs inversus totalis: A replication study. Neuropsychologia 2023; 191:108731. [PMID: 37949213 DOI: 10.1016/j.neuropsychologia.2023.108731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 10/04/2023] [Accepted: 11/06/2023] [Indexed: 11/12/2023]
Abstract
Situs inversus totalis (SIT) is a rare congenital anomaly in which the arrangement of the visceral organs is completely left-right mirrored. A previous study by our lab suggests that SIT (N = 15) correlated with more heterogeneous asymmetrical brain organization and increased left-handedness. In addition, visceral reversal correlated with poorer cognitive performance, especially when hemisphere organization was atypical. The current study sought to replicate these findings in a larger sample. We scanned 23 volunteers with SIT as well as an equal number of controls with usual organ arrangement, and used fMRI to determine their hemisphere dominance for two left hemisphere functions (language and manual praxis) and two right hemisphere functions (spatial attention and face recognition). Effects of SIT etiology were explored by pooling data from the original cohort with the replication sample. Our results reveal that each of those four cognitive functions demonstrated the expected population dominance in SIT, albeit they were less pronounced - but not significantly so - compared to controls. Unusual patterns of hemispheric crowding and mirror-reversal of functional brain organization was observed more often in SIT (48%) than in the controls (30%), but this difference also did not reach statistical significance. However, left-handedness was found to be significantly more common in SIT (26%) than in the overall population (10.6%). Finally, cognitive ability, as assessed by a neuropsychological test battery, was not associated with organ situs or hemisphere organization. Taken together, our data adds to the growing evidence that the determinants of visceral and neural asymmetries are largely independent from one another and that complete situs inversus does not co-occur with an obligatory transposition of the brain's functional architecture. There nevertheless might be instances in which (genetic) mechanisms could simultaneously cause complete visceral reversal and atypical brain laterality.
Collapse
Affiliation(s)
- Robin Gerrits
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - Guy Vingerhoets
- Department of Experimental Psychology, Ghent University, Ghent, Belgium.
| |
Collapse
|
6
|
Mesfin T, Kedir I, Tilahun T, Seyoum K, Dadi S, Ejigu N, Desta F, Geta G, Tsegaye M, Salih H. Situs inversus with levocardia in a 15-year-old male adolescent: a case report. J Med Case Rep 2023; 17:499. [PMID: 38042875 PMCID: PMC10693697 DOI: 10.1186/s13256-023-04254-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 11/08/2023] [Indexed: 12/04/2023] Open
Abstract
BACKGROUND Situs inversus with levocardia is a rare anomaly in which the heart is present in the left chest but the abdominal viscera are transposed. It is caused by a single incomplete penetration of an autosomal recessive gene. It is unclear what exactly causes situs inversus with levocardia. Even if situs inversus can be identified following a comprehensive physical examination, it is now possible to validate the results and search for further information and pathologies since medical imaging is so widely accessible. CASE A 15-year-old Oromo male child from a remote area of Bale Zone presented to the Goba Referral Hospital's medical emergency outpatient department complaining of periumbilical pain that had persisted for 4 months. He frequently came to our hospital and was admitted three times with the same problem. Objectively, there was tenderness over the left lower quadrant and periumbilical area. The sonographic evaluation discovered the transposition of the liver and spleen with cardiac apex on the left side. He received conservative treatment with ceftriaxone 1 g intravenous twice a day and metronidazole 500 mg intravenous for 5 days, and he went home improved. CONCLUSION Isolated levocardia is a rare form of situs inversus in which the heart is in the traditional levo position while the abdominal organs are in the dextro position. What causes situs inversus with levocardia is unknown. Despite the fact that situs inversus can be diagnosed after a thorough physical examination, medical imaging has allowed us to confirm the findings as well as understand more about diseases. Due to the severity of an underlying heart defect, situs inversus with levocardia has a dismal prognosis.
Collapse
Affiliation(s)
- Telila Mesfin
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia.
| | - Ibrahim Kedir
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Teketel Tilahun
- Department of Public Health, Menelik II Comprehensive Specialized Hospital, Finfinnee, Oromia, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Sisay Dadi
- Department of Internal Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Neway Ejigu
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Fikreab Desta
- Department of Public Health, Madda Walabu University, Goba General Hospital, Goba, Oromia, Ethiopia
| | - Girma Geta
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Mesfin Tsegaye
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Husien Salih
- Department of Nursing, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| |
Collapse
|
7
|
Ma B, Chen B, Cai C, Zhang J. Establishment of survival models for primary prostate cancer and colorectal cancer based on the random survival forest. Asian J Surg 2023; 46:5787-5788. [PMID: 37666701 DOI: 10.1016/j.asjsur.2023.08.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 08/24/2023] [Indexed: 09/06/2023] Open
Affiliation(s)
- Bingqing Ma
- Department of Emergency General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Biao Chen
- Department of Emergency General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Chengjun Cai
- Department of Emergency General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Jinxiang Zhang
- Department of Emergency General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
| |
Collapse
|
8
|
Xie Y, Lyu TS, Wang J, Zou YH. A case report of situs inversus totalis undergoing multiple interventional strategies. Asian J Surg 2023; 46:5779-5780. [PMID: 37704472 DOI: 10.1016/j.asjsur.2023.08.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 08/24/2023] [Indexed: 09/15/2023] Open
Affiliation(s)
- Yong Xie
- Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China
| | - Tian-Shi Lyu
- Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China
| | - Jian Wang
- Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Ying-Hua Zou
- Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| |
Collapse
|
9
|
Wang Y, Guo Z, Ye B, Liu L, Mao X, Luo Y, Gao S, He G, Bian S. Association of SARS-CoV-2 Infection during Early Weeks of Gestation with Situs Inversus. N Engl J Med 2023; 389:1722-1724. [PMID: 37913512 PMCID: PMC10755830 DOI: 10.1056/nejmc2309215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
Affiliation(s)
- Yanlin Wang
- International Peace Maternity and Child Health Hospital of China Welfare Institute, Shanghai, China
| | | | - Baoying Ye
- International Peace Maternity and Child Health Hospital of China Welfare Institute, Shanghai, China
| | | | - Xiao Mao
- Hunan Provincial Maternal and Child Health Care Hospital, Changsha, China
| | - Yingchun Luo
- Hunan Provincial Maternal and Child Health Care Hospital, Changsha, China
| | | | - Guang He
- Shanghai Jiao Tong University, Shanghai, China
| | | |
Collapse
|
10
|
Liu C, Zhang F, Yin S, Wang X. Laparoscopic Living Donor Nephrectomy in a Donor With Situs Inversus Totalis: It is Not a Contraindication to Kidney Transplant. Transplant Proc 2023; 55:1896-1899. [PMID: 37495485 DOI: 10.1016/j.transproceed.2023.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/03/2023] [Accepted: 07/03/2023] [Indexed: 07/28/2023]
Abstract
Situs inversus totalis (SIT) is a rare anatomic anomaly representing 180° inversion of all internal organs. We report a case of laparoscopic living donor nephrectomy in a donor with SIT. A 55-year-old man volunteered to provide a living kidney source for his son. The donor was in good physical condition, with no clinical history of obesity, hypertension, diabetes, and other abnormalities. Preoperative X-ray thoracic and abdominal scans showed that the donor had a total organ transposition inversus. Computed tomographic renal vascular three-dimensional reconstruction scan showed that the patient had 2 left renal arteries and 1 right renal artery. All data collected comply with the Helsinki Congress and the Declaration of Istanbul. We chose to perform a transabdominal route laparoscopic living donor nephrectomy of the right kidney. The donor did not experience operation-related complications and was discharged on the fourth postoperative day. The recipient did not have a rejection reaction, and the recipient recovered successfully. This case illustrates that laparoscopic living donor nephrectomy is fully feasible in this population.
Collapse
Affiliation(s)
- Congke Liu
- Department of Urology/Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Fan Zhang
- Department of Urology/Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Saifu Yin
- Department of Urology/Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xianding Wang
- Department of Urology/Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
| |
Collapse
|
11
|
Abstract
This case report discusses a diagnosis of optic disc dysplasia made on routine examination of a man aged 33 years.
Collapse
Affiliation(s)
- M Tariq Bhatti
- Department of Ophthalmology, The Permanente Medical Group, Kaiser Permanente, Northern California, Roseville
| |
Collapse
|
12
|
Nie J, Tang T, Wang Z, Zhang D, Wei J, Sheng W. Mitral valve repair in patients with mirror-image dextrocardia and situs inversus: two cases and a review of the literature. J Int Med Res 2023; 51:3000605231189129. [PMID: 37548409 PMCID: PMC10408350 DOI: 10.1177/03000605231189129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 07/04/2023] [Indexed: 08/08/2023] Open
Abstract
Dextrocardia is a rare cardiac malposition that was first described in 1606. Mirror-image dextrocardia is characterized by a mirror-image change of the normal position of the heart. Most cases are accompanied by situs inversus viscerum, whereas only 3% to 10% of cases are associated with intracardiac anomalies. Valve surgery for acquired valvular lesions in patients with mirror-image dextrocardia with situs inversus is rare. Diagnosing situs anomalies in adults is important to prevent errors during surgical operations, emergency procedures, or interventional operations. In this report, we present two cases of mitral regurgitation in patients with mirror-image dextrocardia. One patient had mirror-image dextrocardia with subacute infective endocarditis and mitral regurgitation, and the other patient had mirror-image dextrocardia with mitral Carpentier type I regurgitation. In both patients, mitral valve repair was successfully performed using a transseptal approach.
Collapse
Affiliation(s)
| | | | | | - Dafa Zhang
- Department of Cardiothoracic Surgery, First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu, China
| | - Jun Wei
- Department of Cardiothoracic Surgery, First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu, China
| | - Weiyong Sheng
- Department of Cardiothoracic Surgery, First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu, China
| |
Collapse
|
13
|
Yücel İK, Çınar AA, Sürücü M, Çelebi A. Successful Transjugular Percutaneous Atrial Septal Defect Closure in a Dextrocardia Patient with Kartagener's Syndrome, Situs Inversus, Interrupted Inferior Vena Cava, and Bilateral Superior Vena Cava. Anatol J Cardiol 2023; 27:47-49. [PMID: 36680447 PMCID: PMC9893705 DOI: 10.14744/anatoljcardiol.2022.2065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Affiliation(s)
- İlker Kemal Yücel
- Department of Pediatric Cardiology, Health Sciences University, Dr. Siyami Ersek Training and Research Hospital, İstanbul, Turkey
| | - Ayşegül Aslan Çınar
- Department of Pediatric Cardiology, Health Sciences University, Dr. Siyami Ersek Training and Research Hospital, İstanbul, Turkey
| | - Murat Sürücü
- Department of Pediatric Cardiology, Health Sciences University, Dr. Siyami Ersek Training and Research Hospital, İstanbul, Turkey
| | - Ahmet Çelebi
- Department of Pediatric Cardiology, Health Sciences University, Dr. Siyami Ersek Training and Research Hospital, İstanbul, Turkey
| |
Collapse
|
14
|
Shah A, Joshi AR, Allu RD, Jeswani H. Unusual case of complete situs inversus with congenitally corrected transposition of the great arteries with levocardia: imaging with MDCT. BMJ Case Rep 2022; 15:e245839. [PMID: 35428663 PMCID: PMC9013953 DOI: 10.1136/bcr-2021-245839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2022] [Indexed: 11/03/2022] Open
Affiliation(s)
| | - Anagha Rajeev Joshi
- Radiodiagnosis, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
| | - Ramya Devi Allu
- Radiodiagnosis, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
| | - Harsha Jeswani
- Radiodiagnosis, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
| |
Collapse
|
15
|
Karki S, Khadka N, Kashyap B, Sharma S, Rijal S, Basnet A. Incidental Finding of Dextrocardia with Situs Inversus and Absent Left Kidney: A Case Report. JNMA J Nepal Med Assoc 2022; 60:196-199. [PMID: 35210643 PMCID: PMC9200005 DOI: 10.31729/jnma.6825] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 02/15/2022] [Indexed: 11/01/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Sital Karki
- Department of Internal Medicine, Kathmandu City Hospital, Kathmandu, Nepal
- Correspondence: Dr Sital Karki, Department of Internal Medicine, Kathmandu City Hospital, Kathmandu, Nepal. , Phone: +977-9860925354
| | - Nasatya Khadka
- Department of Internal Medicine, Kathmandu City Hospital, Kathmandu, Nepal
| | - Basant Kashyap
- Department of Emergency Ward, Agrata Health Care, Koteshwor, Kathmandu, Nepal
| | - Supriya Sharma
- Department of Emergency Ward, Agrata Health Care, Koteshwor, Kathmandu, Nepal
| | - Samita Rijal
- Department of Clinical Psychology, Trichandra College, Kathmandu, Nepal
| | - Archana Basnet
- Department of Surgery, Capital Hospital Pvt. Ltd., Kathmandu, Nepal
| |
Collapse
|
16
|
Hachiro K, Kinoshita T, Shiraishi S, Suzuki T. [Stanford Type A Aortic Dissection with Tricuspid Regurgitation in a Patient with Situs Inversus Totalis]. Kyobu Geka 2022; 75:88-91. [PMID: 35249082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Situs inversus totalis is a congenital anomaly characterized by a mirror image transposition of the normal visceral organs, which makes it difficult to perform aortic surgery accurately. Stanford type A aortic dissection in patients with this condition is very rare and difficult to assess and manage. We report a case of Stanford type A aortic dissection with situs inversus totalis. The patient presented with severe tricuspid regurgitation with annulus enlargement due to chronic atrial fibrillation, requiring ascending aortic replacement and tricuspid annuloplasty. These procedures were performed after the operator swapped the left and right positions during the operation. Postoperative course was uneventful. By carefully checking the preoperative computed tomography images and changing the operator's position during the operation, it is possible to safely perform Stanford type A aortic dissection surgery in patients with situs inversus totalis.
Collapse
Affiliation(s)
- Kohei Hachiro
- Department of Cardiovascular Surgery, Omi Medical Center, Kusatsu, Japan
| | | | | | | |
Collapse
|
17
|
Shi R, Bai Y, Liu ZR, Zhang YM. Treatment of choledocholithiasis using endoscopic retrograde cholangiopancreatography in an elderly patient with complete situs inversus viscerum. Asian J Surg 2021; 44:1112-1113. [PMID: 34154937 DOI: 10.1016/j.asjsur.2021.05.039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 05/24/2021] [Indexed: 11/29/2022] Open
Affiliation(s)
- Rui Shi
- Department of Hepatobiliary Surgery, Tianjin First Center Hospital, Tianjin 300192, China
| | - Yi Bai
- Department of Hepatobiliary Surgery, Tianjin First Center Hospital, Tianjin, 300192, China
| | - Zi-Rong Liu
- Department of Hepatobiliary Surgery, Tianjin First Center Hospital, Tianjin, 300192, China
| | - Ya-Min Zhang
- Department of Hepatobiliary Surgery, Tianjin First Center Hospital, Tianjin, 300192, China.
| |
Collapse
|
18
|
Affiliation(s)
- Sami Akbulut
- Faculty of Medicine, Department of Surgery and Liver Transplant Institute, Inonu University, Malatya, Turkey
| |
Collapse
|
19
|
Soofi M, Alpert MA, Barbadora J, Mukerji B, Mukerji V. Human Laterality Disorders: Pathogenesis, Clinical Manifestations, Diagnosis, and Management. Am J Med Sci 2021; 362:233-242. [PMID: 34052215 DOI: 10.1016/j.amjms.2021.05.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 04/18/2021] [Accepted: 05/24/2021] [Indexed: 12/22/2022]
Abstract
Human laterality disorders comprise a group of diseases characterized by abnormal location (situs) and orientation of thoraco-abdominal organs and vessels across the left-right axis. Situs inversus totalis is mirror image reversal of thoraco-abdominal organs/great vessels. Situs ambiguus, better known as heterotaxy, is abnormal arrangement of thoraco-abdominal organs across the left-right axis excluding situs inversus totalis. Heterotaxy, also referred to as atrial or atrial appendage isomerism, is characterized by abnormal location of left-sided or right-sided organs with loss of asymmetry of normally paired asymmetric organs. It is associated with a variety of anomalies involving the heart, great vessels, lungs and intra-abdominal organs. Right and left atrial isomerism are associated with multiple complex congenital cardiac and vascular anomalies, many of which are lethal when untreated. Isomerism may also affect the lungs, spleen, liver, gall bladder, and intestines. Innovative surgical therapy of heterotaxy/isomerism has reduced early mortality and markedly improved long-term prognosis.
Collapse
Affiliation(s)
- Muhammad Soofi
- Boonshoft School of Medicine, Wright State University, Dayton, OH, USA
| | - Martin A Alpert
- University of Missouri School of Medicine, Columbia, MO, USA.
| | | | - Basanti Mukerji
- Boonshoft School of Medicine, Wright State University, Dayton, OH, USA; Dayton VA Medical Center, Dayton, OH, USA
| | - Vaskar Mukerji
- Boonshoft School of Medicine, Wright State University, Dayton, OH, USA; Dayton VA Medical Center, Dayton, OH, USA; Kettering Medical Center, Kettering, OH, USA
| |
Collapse
|
20
|
|
21
|
Tsujioka S, Nozoe M, Kawano Y, Suematsu N, Kubota T. Successful Catheter Ablation for Multiple Atrial Arrhythmias in a Patient with Situs Inversus Totalis. Intern Med 2021; 60:563-567. [PMID: 33028769 PMCID: PMC7946512 DOI: 10.2169/internalmedicine.5361-20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
A 70-year-old woman with situs inversus totalis underwent catheter ablation for atrial fibrillation and atrial flutter. Although her morphologic left atrium (LA) was enlarged, we performed cryoballoon ablation and liner radiofrequency ablation of the cava-tricuspid isthmus without mapping atrial arrhythmias. However, a different form of atrial tachycardia (AT) recurred. We performed catheter ablation a second time using a three-dimensional electroanatomic mapping system. AT was not terminated by the liner ablation at the roof of morphologic LA and mitral isthmus but sustained by changing the atrial activation sequence and cycle length. Multipolar mapping catheter revealed that fractionated low-amplitude potentials were densely located in a limited area of the anterior morphologic LA, and an activation map demonstrated the presence of small-circuit reentry with an extremely slow conduction at the anterior morphologic LA. A single energy application targeting the fragmented potentials successfully terminated the AT. We successfully treated multiple ATs with a complex anatomy using a three-dimensional electroanatomic mapping system.
Collapse
Affiliation(s)
- Satoshi Tsujioka
- Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Japan
| | - Masatsugu Nozoe
- Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Japan
| | - Yuki Kawano
- Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Japan
| | - Nobuhiro Suematsu
- Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Japan
| | - Toru Kubota
- Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Japan
| |
Collapse
|
22
|
Abu Hanna F, Prais D, Zehavi Y, Sakran W, Spiegel R. Intrafamilial Phenotypic Variability in Two Siblings with Primary Ciliary Dyskinesia Due to Homozygous Loss of Function Mutation in the CCDC151 Gene. Isr Med Assoc J 2020; 22:260-262. [PMID: 32286033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Firas Abu Hanna
- Department of Pediatric B, Emek Medical Center, Afula, Israel
| | - Dario Prais
- Pulmonary Institute, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yoav Zehavi
- Department of Pediatric B, Emek Medical Center, Afula, Israel
| | - Waheeb Sakran
- Department of Pediatric B, Emek Medical Center, Afula, Israel
- Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
| | - Ronen Spiegel
- Department of Pediatric B, Emek Medical Center, Afula, Israel
- Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
| |
Collapse
|
23
|
Abstract
In some cases, in addition to the usual difficulties that the bariatric surgeon may encounter during standard bariatric procedures, anatomical anomalies such as situs inversus can pose an additional technical challenge. A 58-year-old patient with total situs inversus underwent Roux-en-Y gastric bypass (RYGB) surgery in our department. The main difficulty was the realization of a mirrored RYGB. Laparoscopic RYGB in a patient with situs inversus totalis is feasible but requires significant concentration and three-dimensional coordination to perform the mirrored procedure.
Collapse
Affiliation(s)
- Tigran Poghosyan
- Department of Digestive, Oncologique and Bariatric Surgery, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France.
| | - Matthieu Bruzzi
- Department of Digestive, Oncologique and Bariatric Surgery, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France
| | - Claire Rives-Lange
- Department of Nutrition, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France
| | - Sebastien Czernichow
- Department of Nutrition, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France
| | - Jean-Marc Chevallier
- Department of Digestive, Oncologique and Bariatric Surgery, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France
| | - Richard Douard
- Department of Digestive, Oncologique and Bariatric Surgery, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France
| |
Collapse
|
24
|
Wang P, Jing H, Li F, Wang Z, Huo L. 99mTc-Labeled Native RBC Scintigraphy in Distinguishing Polysplenia From Abdominal Masses in a Patient With Situs Inversus Totalis. Clin Nucl Med 2019; 44:998-1000. [PMID: 31689285 DOI: 10.1097/rlu.0000000000002825] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A 39-year-old previously healthy woman presented possible hematuria. An ultrasound examination showed right adrenal mass and suggested pheochromocytoma. A Tc-HYNIC-TOC SPECT/CT was performed, which incidentally detected situs inversus totalis and suspicion of polysplenia without definite normal spleen in the right upper abdomen. In order to differentiate the polysplenia from other etiologies, a heat-damaged Tc RBC scintigraphy was performed. The images showed significant activity in the multiple soft tissue nodules in the posterior right abdomen, consistent with ectopic polysplenia.
Collapse
Affiliation(s)
- Peipei Wang
- From the Department of Nuclear Medicine, Peking Union Medical College (PUMC) Hospital, Chinese Academy of Medical Science and PUMC; and Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, People's Republic of China
| | | | | | | | | |
Collapse
|
25
|
Affiliation(s)
| | - Dennis A Tighe
- University of Massachusetts Medical School, Worcester, MA
| |
Collapse
|
26
|
Haran C, Fischer N, Oliver T, Grant M. Mirror-image confusion: successful giant hiatus hernia repair in situs inversus totalis. N Z Med J 2019; 132:66-68. [PMID: 31170135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Cheyaanthan Haran
- PGY2 House Officer, Department of General Surgery, Wellington Regional Hospital, Wellington
| | - Nicholas Fischer
- Senior General Surgery Registrar, Department of General Surgery, Wellington Regional Hospital, Wellington
| | - Thomas Oliver
- Junior General Surgery Registrar, Department of General Surgery, Wellington Regional Hospital, Wellington
| | - Mark Grant
- Consultant General Surgeon, Department of General Surgery, Wellington Regional Hospital, Wellington
| |
Collapse
|
27
|
Herrmann FEM, Fichtner S, Sadoni S. Successful Left Ventricular Lead Placement in Congenitally Corrected Transposition of the Great Arteries and Situs Inversus. JACC Clin Electrophysiol 2019; 5:404-405. [PMID: 30898247 DOI: 10.1016/j.jacep.2018.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 11/05/2018] [Accepted: 11/15/2018] [Indexed: 11/19/2022]
Affiliation(s)
| | | | - Sebastian Sadoni
- Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany
| |
Collapse
|
28
|
Hu L, Chai Y, Yang X, Wu Z, Sun H, Wang Z. Duodenoscope combined with laparoscopy in treatment of biliary stones for a patient with situs inversus totalis: A case report. Medicine (Baltimore) 2019; 98:e14272. [PMID: 30762727 PMCID: PMC6408073 DOI: 10.1097/md.0000000000014272] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE Although endoscopic and laparoscopic techniques in situs inversus totalis (SIT) have been reported respectively, endo-laparoscopic combination therapy due to biliary lithiasis remains infrequent. We shared the experience regarding the operations with a video report and discussed the similarities and differences with the usual procedures, which proved to be challenging to some extent for SIT. PATIENT CONCERNS Herein we present a 72-year-old man with SIT who underwent endo-laparscopic combination therapy due to choledocholithiasis and gallbladder stone. DIAGNOSIS Choledocholithiasis; Gallbladder stone; SIT INTERVENTIONS:: The patient underwent endoscopic retrograde cholangiopancreatography (ERCP) first. He was placed in the left lateral decubitus position with basal anesthesia. As a result of the anatomical abnormality, the endoscope was rotated 180° in the 2nd portion of the duodenum. The ampulla was identified with difficulty because of a giant duodenal diverticulum nearby. After double-wire-guided cannulation, cholangiogram demonstrated filling defects and sphincterotomy was performed. This was followed by balloon ampulla dilation, sludge sweepage and nasobiliary drainage. The patient underwent standard laparoscopic cholecystectomy (LC) the next day. OUTCOMES No complications such as bleeding, pancreatitis, perforation (after ERCP) or bile leakage (after LC) was detected. The patient was discharged after 4 days and recovered well after 3 months follow-up. LESSONS We found that patients were not required to make changes in position; the medical staff should adapt to mirror symmetrical anatomy and operate carefully. The surgical outcomes were not affected despite the extended operation time. In addition, operators can amend usual operating habits with modified techniques for patients with SIT.
Collapse
|
29
|
Xiang D, He J, Fan Z, Xiong F, Liu G, Chen S, Wen W, Li J, Ai J, Wan R, Wang G, Shi J. Situs inversus totalis with solid pseudopapillary pancreatic tumor: A case report and review of literature. Medicine (Baltimore) 2018; 97:e0205. [PMID: 29561447 PMCID: PMC5895343 DOI: 10.1097/md.0000000000010205] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
RATIONALE Situs inversus totalis (SIT) is a rare anatomical variation of the internal organs, and solid pseudopapillary tumor of the pancreas (SPTP) is a rare tissue type of pancreatic tumors, classified as benign or low-grade malignancy. However, to our knowledge, a patient with SIT and SPTP is extremely rare and has never been reported. PATIENT CONCERNS We retrospectively analyzed a case of SIT with SPTP in a 45-year-old woman. The main complaints were abdominal pain and sensation of heaviness for 2 weeks. There was tenderness and a mass that could be palpated in the right upper abdomen. DIAGNOSES Heart ultrasonography (USG), chest x-ray, computed tomography (CT), and contrast-enhanced computerized tomography (CECT) revealed a mirror-image dextrocardia and inversion of all abdominal viscera and a space-occupying lesion in the pancreas tail. Abdominal computed tomography angiography (CTA) showed no obvious abnormality of artery. The diagnosis of SPTP was finally made by postoperative pathological examination. INTERVENTIONS The patient underwent resection of the pancreatic body and tail and splenectomy via laparotomy to completely remove the tumor. OUTCOMES The patient was discharged with specific discomfort on postoperative day 7. At the 1.5-year follow-up, she recovered without issue. LESSONS Surgical resection remains the only effective treatment of SPTP. SIT with SPTP can be accurately diagnosed by heart USG, chest x-ray, CT, and CECT of the upper abdomen. Abdominal aorta CTA before surgery can decrease the injury risk of blood vessels.
Collapse
Affiliation(s)
- Deng Xiang
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Jiannan He
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | | | - Fangfang Xiong
- Basic Nursing Teaching and Research Office, Nanchang City Health School
| | - Gang Liu
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Sufen Chen
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Wu Wen
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Jianfeng Li
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Junhua Ai
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Renhua Wan
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| | - Gongxian Wang
- Department of Urology Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Jun Shi
- Department of General Surgery, The First Affiliated Hospital of Nanchang University
| |
Collapse
|
30
|
Sipra QUAR, Bilal J, Husnain M. Dextrocardia With Situs Inversus and Levo-Transposition of Great Vessels. Am J Med Sci 2017. [PMID: 28641729 DOI: 10.1016/j.amjms.2016.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
| | - Jawad Bilal
- Department of Internal Medicine, University of Arizona, Tucson, Arizona.
| | - Muhammad Husnain
- Department of Internal Medicine, University of Arizona, Tucson, Arizona
| |
Collapse
|
31
|
Kumano H, Shuntoh K, Yamaguchi A, Tatsu K. [Double Valve Replacement and Tricuspid Annuloplasty in a Patient with Situs Inversus Totalis and Mirror-image Dextrocardia;Report of a Case]. Kyobu Geka 2017; 70:135-137. [PMID: 28174408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Situs inversus totalis and mirror-image dextrocardia is a rare congenital anomaly. A 79-year-old man with a history of atrial fibrillation presented to our hospital with chest oppression. Chest X-ray and computed tomography showed mirror-image dextrocardia and situs inversus totalis. Echocardiography revealed severe mitral and aortic regurgitation and mild tricuspid regurgitation. Mitral and aortic valve replacement using bioprosthesises, tricuspid annuloplasty and closure of the left atrial appendage were successfully performed. Surgical procedures were mainly performed by the surgeon standing on the left side of the patient, and by the assistant standing on the right side when necessary. The patient was discharged in good condition on the 23th postoperative day.
Collapse
Affiliation(s)
- Hiroshi Kumano
- Department of Cardiovascular Surgery, Northern Okinawa Cardiovascular Center, Nago, Japan
| | | | | | | |
Collapse
|
32
|
Ulusoy Kaymak S, Kabadayı Şahin E, Karakaş Uğurlu G, Ünal Ö, Atagün Mİ, Can SS, Çayköylü A. Situs Inversus Totalis and Schizophrenia Comorbidity. Turk Psikiyatri Derg 2017; 28:287-290. [PMID: 29730866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The comorbidity of structural or genetic diseases with schizophrenia is seen as an opportunity to understand the formation of schizophrenia. This case report presents a patient with comorbidity of schizophrenia, tetralogy of Fallot (TOF) and total situs inversus. TOF is a cyanotic heart disease, which can be linked to 22q11 deletion and trisomy 21. Situs inversus totalis (SIT) is a congenital condition in which the major visceral organs, including the heart, are positioned in a mirror image from normal conditions. The comorbidity of TOF and SIT is quite rare. In our case report, schizophrenia is added to this rare comorbidity. This case report discussed the comorbidity and probable causal relationships. Furthermore, the research method of how transposition in internal organs is reflected in brain lateralization is also presented.
Collapse
|
33
|
Abstract
PURPOSE Whilst situs inversus is associated with intestinal malrotation and volvulus particularly in infants, this is the first known report of acute intestinal obstruction in an adult patient with a situs anomaly specifically due to a congenital transmesenteric hernia. CASE A 54-year-old woman presented with a 12-h history of progressive abdominal pain. Contrast-enhanced computed tomography scan of the abdomen revealed an incidental finding of situs inversus abdominus, ischemic small bowel obstruction and a potential occlusive thrombus of the superior mesenteric artery. At operation, the cause of intestinal obstruction was found to be secondary to herniation of the intestine through a congenital mesenteric defect. The hernia was reduced and a strong pulse was subsequently felt in the distal superior mesenteric artery. The patient required resection of a segment of compromised small bowel, and was later anastomosed at a planned second laparotomy. Her laparostomy was closed using an absorbable BioA mesh. CONCLUSION A high index of suspicion and low threshold for exploratory surgery should be maintained in patients with major congenital abdominal anomalies presenting with an acute abdomen.
Collapse
Affiliation(s)
- K M Brown
- Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, University of Sydney, St Leonards, Sydney, NSW, 2065, Australia.
| | - J S Gundara
- Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, University of Sydney, St Leonards, Sydney, NSW, 2065, Australia
| | - A Mittal
- Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, University of Sydney, St Leonards, Sydney, NSW, 2065, Australia
| |
Collapse
|
34
|
Kakegawa S, Kawashima O, Tomizawa Y, Sugano M, Shimizu K. [Lung Segmentectomy Using Video-assisted Thoracic Surgery for Lung Cancer in a Patient with Situs Inversus Totalis]. Kyobu Geka 2016; 69:521-524. [PMID: 27365064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The case was 83-year-old man who had complete situs inversus, and was pointed out to have peripheral adenocarcinoma with the size of 1.8 cm at the left upper lobe( S3). Because of severe emphysema and other multiple comorbidities, left S3 segmentectomy with hilar lymph node sampling was performed using video-assisted thoracic surgery (VATS). Preoperatively, the simulation of operation was performed using the 3 dimension computed tomography images of pulmonary arteriovenous and bronchus (3DCTAB). Postoperative course was uneventful. 3DCTAB was thought to be useful in understanding the anatomical location of pulmonary arteriovenous and bronchus directly, and in performing segmentectomy in the case of situs inversus like this.
Collapse
Affiliation(s)
- Seiichi Kakegawa
- Department of Thoracic Surgery, Nishigunma National Hospital, Shibukawa, Japan
| | | | | | | | | |
Collapse
|
35
|
Franco A, Jo SY, Mehta AS, Pandya DJ, Yang CW. A Rare Triad of Giant Occipital Encephalocele with Lipomyelomeningocele, Tetralogy of Fallot, and Situs Inversus. J Radiol Case Rep 2016; 10:36-46. [PMID: 27200165 DOI: 10.3941/jrcr.v10i3.2718] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Giant encephalocele is an uncommon congenital anomaly with very few published reports available in the English literature. Tetralogy of Fallot associated with situs inversus is also infrequently reported. To our knowledge there are no published reports of an association between giant encephalocele and Tetralogy of Fallot. The additional finding of situs inversus results in a rare pathologic triad, not heretofore described.
Collapse
Affiliation(s)
- Arie Franco
- Department of Radiology, The University of Chicago Medical Center, Chicago USA
| | - Stephanie Y Jo
- Department of Radiology, The University of Chicago Medical Center, Chicago USA
| | - Amar S Mehta
- Department of Radiology, The University of Chicago Medical Center, Chicago USA
| | - Dave J Pandya
- Department of Cardiology, The University of Chicago Medical Center, Chicago USA
| | - Carina W Yang
- Department of Radiology, The University of Chicago Medical Center, Chicago USA
| |
Collapse
|
36
|
García Gómez FJ, Calvo Morón C, de la Riva Pérez PA, de Bonilla Damiá Á, Castro Montaño J. [Incidental finding of situs inversus totalis using scintigraphy to rule out gastrointestinal bleeding and Meckel's diverticulum]. Rev Chil Pediatr 2016; 87:237-238. [PMID: 26874813 DOI: 10.1016/j.rchipe.2016.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Revised: 12/29/2015] [Accepted: 01/11/2016] [Indexed: 06/05/2023]
Affiliation(s)
| | - Cinta Calvo Morón
- Servicio de Medicina Nuclear, Hospital Universitario Virgen Macarena, Sevilla, España
| | | | | | - Juan Castro Montaño
- Servicio de Medicina Nuclear, Hospital Universitario Virgen Macarena, Sevilla, España
| |
Collapse
|
37
|
Gunst JD, Rossen NB. [Situs inversus – a part of the Kartagener syndrome]. Ugeskr Laeger 2016; 178:V67056. [PMID: 27045793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
|
38
|
Ibrahim M, Hussain D, Waheed S, Tahir R, Haider G, Ali N, Sarfraz SL. PERFORATED DUODENAL ULCER ASSOCIATED WITH SITUS INVERSUS AND DEXTROCARDIA. J Ayub Med Coll Abbottabad 2016; 28:199-200. [PMID: 27323596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A 32 years old gentleman, presented in emergency department, with complaints of sudden onset of severe upper abdominal pain, associated with nausea and vomiting. He was a known case of acid peptic disease. His abdominal examination showed signs of peritonitis. X-ray chest showed pneumoperitoneum, with dextrocardia. Ultrasound showed situs inversus. Exploration confirmed the diagnosis of perforated ulcer and situs inversus. Grahm's patch repair of perforation was done. His postoperative recovery was smooth.
Collapse
|
39
|
Nemes A, Domsik P, Szabó-Biczók A, Bogáts G, Kalapos A, Forster T. Are Left Ventricular Rotational Mechanics NonInverted in Situs Inversus Totalis? (A case from the three-dimensional speckle-tracking echocardiographic MAGYAR-Path Study). Hellenic J Cardiol 2015; 56:513-515. [PMID: 26685297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Affiliation(s)
- Attila Nemes
- Second Department of Medicine and Cardiology Center, Medical Faculty, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
| | | | | | | | | | | |
Collapse
|
40
|
Affiliation(s)
- Anastasia Paschala
- Department of Internal Medicine,St. Josef Hospital, Gelsenkirchen Horst, Germany
| | - Theocharis Koufakis
- Department of Internal Medicine, General Hospital of Larissa, Larissa, Greece
| |
Collapse
|
41
|
Tsepelidis D, Loi P, Katsanos G, Closset J. Gastric bypass for morbid obesity in a patient with situs inversus totalis. Acta Chir Belg 2015; 115:81-82. [PMID: 26021797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The aim of this case report is to outline the challenge and the feasibility of laparoscopic gastric bypass in a patient with situs inversus totalis. Situs inversus totalis does not seem to be a contraindication for laparoscopic surgery.
Collapse
Affiliation(s)
- D Tsepelidis
- Erasmus Hospital, Free University of Brussels, Brussels, Belgium
| | | | | | | |
Collapse
|
42
|
Affiliation(s)
- Şahin Çoban
- Department of Gastroenterology, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey
| | - Ilhami Yüksel
- Department of Gastroenterology, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey
| | - Metin Küçükazman
- Department of Gastroenterology, Kecioren Education and Research Hospital, Ankara, Turkey
| | - Ömer Başar
- Department of Gastroenterology, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey
| |
Collapse
|
43
|
Priyanthan NI, Rindom A, Mogensen CB. [Left-sided appendicitis due to intestinal malrotation]. Ugeskr Laeger 2013; 175:3110-3111. [PMID: 24629534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Left-sided appendicitis due to malrotation is a rare condition with an atypical presentation. We report a history of a 31-year-old man who had four days of right-sided abdominal pain, moving across lower abdomen and tenderness in both right and left side on examination. A computed tomography revealed intestinal malrotation and inflammation of the appendix, which was placed from a caecum in left fossa to across the abdominal midline. Appendix was removed and the patient recovered uneventfully. Presentations, diagnostic procedures and operation techniques are discussed.
Collapse
|
44
|
Masuda Y, Marutsuka T, Saishoji T. [Lung resection for lung cancer in patient with situs inversus totalis]. Kyobu Geka 2013; 66:481-484. [PMID: 23917054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Situs inversus, which occurs in 1-2 of every 10,000 births, is a congenital malformation in which the thoracic and abdominal viscera are arranged in partial on complete mirror image of the normal anatomy. In the case of situs inversus, special attention must be taken in performing surgery. We present a surgical case of primary lung cancer in an 81-year-old patient with situs inversus totalis. During surgery, we used the Univent bronchial tube for one-lung ventilation. The appearance of the right lung and the arrangement of the pulmonary vessels and the bronchi corresponded to those normally found on the right side was noted at left thoracotomy. Left middle lobectomy and partial resection of left upper lung were successfully performed. In lung resection for situs inversus, it is important to be aware the mirrorimage anatomy. The three dimensional computed tomography (3D-CT) images were useful for preoperative evaluation of vessel variation.
Collapse
Affiliation(s)
- Yoshiko Masuda
- Department of Thoracic Surgery, Kumamoto Chuo Hospital, Kumamoto, Japan
| | | | | |
Collapse
|
45
|
Omarjee A, Cuillier F, Julien E, Alessandri JL, Cartault F. [About six observations of double discrepancy of the heart: feasibility of prenatal diagnosis?]. J Gynecol Obstet Hum Reprod 2013; 42:143-150. [PMID: 22765963 DOI: 10.1016/j.jgyn.2012.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2011] [Revised: 05/06/2012] [Accepted: 05/21/2012] [Indexed: 06/01/2023]
Abstract
The double discrepancy (DD) is an exceptional cardiopathy, manifested by atrioventricular and ventriculo-arterial discordances. DD is rarely diagnosed in the antenatal period and is often found in adults when cardiac complications occur. We describe six cases of DD, the different forms, their ultrasound semiology, and the assessment of prognosis, correlated with the existence of associated cardiac anomalies.
Collapse
Affiliation(s)
- A Omarjee
- CPDPN, Félix-Guyon Hospital, allée des Topazes, quartier de Bellepierre, 97400 Saint-Denis, Réunion, France
| | | | | | | | | |
Collapse
|
46
|
Kahali D, Mandal S, Mandal D, Ghose A, Kanjilal S. Symptomatic sick sinus syndrome requiring permanent pacemaker implantation in a patient uwith mirror image dextrocardia with situs inversus and infertility. J Indian Med Assoc 2013; 111:54-57. [PMID: 24000510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Situs inversus with dextrocardia is a congenital condition in which the heart is a mirror image of the anatomically normal heart on the right side. A patient presented with the sick sinus syndrome accompanying mirror image dextrocardia which was associated with double superior vena cava and a left sided inferior vena cava A permanent transvenous demand pacemaker was inserted because of repeated episodes of dizziness and a single episode of syncope with ECG showing bradycardia with junctional escape rhythm. Precise knowledge of the venous system and the location of the apex of the right ventricle were necessary prior to permanent pacemaker implantation. Without such knowledge pacing may be technically challenging.
Collapse
Affiliation(s)
- Dhiman Kahali
- Institute of Cardiovascular Sciences, SSKM Medical College, Kolkata, India
| | | | | | | | | |
Collapse
|
47
|
Yoshida M, Hino H, Machida H, Hatakeyama N, Okano Y, Iwahara Y, Shinohara T, Oogushi F. Video-assisted thoracic surgery lobectomy for lung cancer in a patient with complete situs inversus. Gen Thorac Cardiovasc Surg 2012; 61:155-9. [PMID: 22644817 DOI: 10.1007/s11748-012-0114-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2012] [Accepted: 04/23/2012] [Indexed: 12/20/2022]
Abstract
Complete situs inversus is a rare abnormality of autosomal recessive inheritance; it requires particular care during surgery, because the viscus anatomy is a mirror image of the normal anatomy. Reports of surgery for lung cancer in cases of complete situs inversus are very rare. Here, we report a case of lobectomy for lung cancer of the right lower lobe performed using video-assisted thoracic surgery (VATS) in a patient with complete situs inversus. We emphasize the importance of careful examination of the relationship between the bronchus, pulmonary artery, and pulmonary vein in the hilum of the lung in cases of complete situs inversus requiring lung resection for cancer; this is even more necessary when VATS is performed.
Collapse
Affiliation(s)
- Mitsuteru Yoshida
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health Bioscience, University of Tokushima Graduate School, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan.
| | | | | | | | | | | | | | | |
Collapse
|
48
|
Affiliation(s)
- C-Y Lin
- Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | | |
Collapse
|
49
|
Bando H, Takashima A, Yoshioka K. [Series: Diagnosis at a glance]. Nihon Naika Gakkai Zasshi 2012; 101:197-200. [PMID: 22413481 DOI: 10.2169/naika.101.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
|
50
|
Hashmi S, Anis M, Darr U. Dextrocardia with situs inversus totalis: coronary artery bypass grafting. J PAK MED ASSOC 2012; 62:69-70. [PMID: 22352110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Dextrocardia with situs inversus is a rare congenital abnormality involving a left-handed mal rotation of the visceral organs. The incidence of coronary artery disease is the same as that in the general population. Performing coronary artery bypass surgery on patients with dextrocardia poses a more challenging task. It is recommended that the right internal mammary artery be the first choice of graft for the anterior descending artery for a "situs inversus" situation. We report 2 cases of patients with Dextrocardia who developed coronary artery disease and underwent coronary artery bypass grafting. Also mentioned is the slight difference in our technique.
Collapse
Affiliation(s)
- Salila Hashmi
- Department of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi
| | | | | |
Collapse
|