Splenic Injury in Situs Inversus Totalis – A Surgical Challenge
Situs inversus totalis is a rare congenital anomaly in which position of the heart and all abdominal viscera is reversed. Situs abnormalities usually go unnoticed but may be recognized by radiography or ultrasonography as an incidental finding or during evaluation for congenital heart diseases. We...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5871/13376_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Situs inversus totalis is a rare congenital anomaly in which position of the heart and all abdominal viscera is reversed. Situs abnormalities
usually go unnoticed but may be recognized by radiography or ultrasonography as an incidental finding or during evaluation for congenital
heart diseases. We present such an extremely rare and to the best of our knowledge the third reported case of an injured spleen in the
right hypochondrium, following seemingly trivial blunt trauma in a patient with situs inversus totalis who underwent splenectomy. The
presence of associated congenital heart defects, visceral anatomical variations and mirror imaging makes the anaesthetic management
as well as the surgical exercise a challenging one in such cases. |
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| ISSN: | 2249-782X 0973-709X |