Situs inversus totalis is a rare autosomal recessive disorder characterized by transposition of the intra-abdominal as well as the intrathoracic viscera. We present the case of a 45-year-old Pakistani lady who had choledochal cyst with cholelithiasis in tandem with situs inversus totalis. We were faced with dilemmas both diagnostic and management during the course of her care. We share our expe...

Primary ciliary dyskinesia (PCD) causes chronic cough, sinusitis and bronchiectasis, and half of patients also show situs inversus. The genetic basis and visible and concealed chronic symptoms provide potential for stigmatization. We describe a structural equation model linking a questionnaire measure of stigmatization to sex, age, personality (Big Five), symptoms (St George's Respiratory Quest...

We present a 24-year-old lady who reported at the radiology department, UBTH Benin City for a chest radiograph, as part of her pre-employment medical examination. She was asymptomatic, her past medical history was not significant and physical examination revealed an apex beat located on the 5th right intercoastal space. The chest radiograph confirmed dextrocardia and also revealed the gastric a...

A 76-year-old man with situs inversus totalis underwent a successful off-pump three-vessel coronary artery bypass surgery. The postoperative course was uneventful, and the patient was discharged 8 days later. At 9-month follow-up a coronary computed tomography angiography confirmed the viability of all of the grafts, and one year after the operation the patient remained asymptomatic. It compris...

Hepatic angiomyolipoma is an extremely rare benign hamartomatous lesion. Situs inversus totalis is a genetic condition occurring in 0.01% of the population. Following the kidney, the liver is the second most common site of angiomyolipoma. No consensus on the treatment of hepatic angiomyolipoma has been reached. However, the majority of these tumours are managed conservatively. Situs inversus to...

A case of isolated atrioventricular discordance in situs solitus is described. The importance of a well defined situs and of the presence of both ventricles in making this diagnosis is underlined and previous published reports reviewed. It is suggested that the haemodynamic concept of isolated atrioventricular discordance cannot be described only by the spatial relation between the ventricles (...

Recently, we have reported 20 cases of isolated 1lvocardia (Campbell and Deuchar, 1965), and here we are describing 33 cases of dextrocardia with malformations of the heart. These are nearly always present when the heart is on the right side without inversion of the abdominal viscera (isolated dextrocardia), as they are with isolated levocardia: generally they produce a right-to-left shunt and ...

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 ...

C liical im ge A term-newborn baby developed respiratory distress after his first feed. An orogastric tube failed to reach the stomach. Chest and abdominal radiography showed a coiled tube in the proximal oesophageal pouch, and a gas-containing abdomen. These findings were consistent with oesophageal atresia (OA) and distal tracheo-esophageal fistula (TOF) (Fig.). Dextrocardia, right-sided gast...