Acute cholecystitis is a common surgical problem; however, the diagnosis may be difficult when the patient has situs inversus, or mirror-image reversal of the organs. This case report discusses the clinical presentation, diagnosis, radiographic images, and surgical management of cholecystitis in the face of situs inversus totalis.

case a, a 27-year-old iranian male and case b, a 22-year-old afghani male, both presented to the emergency department of shohadaye hafte-tir hospital with multiple traumas due to car accidents. neither was aware of his unusual anatomy. one case unaware two just right heart. both patients were referred to the imaging department for ct scans and some radiographic studies. we discovered they were ...

Situs inversus with mirror-image of the heart is a rare condition. The present report describes a case of a patient with dextrocardia with situs inversus who had atrial septal defect with multiple holes in the fossa ovalis. The patient underwent total endoscopic atrial septal defect repair using the da Vinci surgical system. This procedure was achieved safely with good clinical and excellent co...

Infants of diabetic mothers are significantly at higher risk for major congenital malformations, with cardiovascular anomalies that is the most frequent. In this study, we presented a rare case of dextrocardia and situs inversus totalis (mirror-image dextrocardia) with multiple congenital heart anomalies who was born from a diabetic mother.

The situs inversus is a rare congenital anomaly, which is a more or less complete inversion of the abdominal and thoracic organs. We report a case of 70 years old man, without pathological antecedents complaining about epigastric pains associated to haematemesis, and whose gastric endoscopy objectified a gastric tumor. The pulmonary x-ray and the abdominal computed tomography (CT) revealed the ...

Dextrocardia with polysplenia is one of a large spectrum of situs anomalies. In most cases, there are associated cardiovascular abnormalities. We report the case of a patient with dextrocardia, polysplenia, situs ambiguous, and interruption of the inferior vena cava, with an azygos vein continuation. He underwent surgery to replace the aortic valve and the ascending aorta, and to insert a doubl...

Situs inversus totalis is a relatively rare congenital anatomic anomaly in which there is complete right to left reversal (transposition) of the thoracic and abdominal organs The incidence of acute appendicitis with situs inversus totalis is between 0.016% and 0.024%. We present two cases of situs inversus totalis with acute appendicitis. Appendicectomy was performed on both patients as an emer...

Electrophysiologic delineation of the atrioventricular conduction system at surgery is described in two patients with corrected transpostion of the great arteries in situs inversus. Intra-atrial electrograms were recorded in one patient from sites immediately adjacent to the coronary sinus located in the left-sided right atrium. The intraventricular portion of the atrioventricular conduction sy...

The first case of mitral stenosis in a patient with situs inversus was reported from this hospital in 1911 (Owen). We have found four reports of mitral valvotomy in such cases (Berkowitz and Likoff, 1954; Koshy et al., 1955; Naef, 1957; Michaud et al., 1959) and a fifth is reported here. Viscott (1960) collected some 900 previously reported cases of complete situs inversus and suggested that it...