Situs inversus totalis

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Chief complaint: pain in the left side scrotum for 10 days, no history of trauma clinical examination: mild swelling, tenderness left epididymis & LT testis, afebrile.

Patient Data

Age: 60 years
Gender: Male
x-ray

The heart is situated on the right side of the body (dextroversion) with the cardiac apex pointing to the right.
Right lower lung zone haziness area is noted may be due to fat pad.
Normal cardiac size.
Both costophrenic angles are clear.
Aortic knuckle is located at the right paravertebral region with descending aorta contour over right side.

Paucity of gas-filled bowel loops over the left hypochondrium due to occupation by liver.

Case Discussion

The patient was admitted for scrotal complaints, the chest oscillation showed crepitus right lower lung, and then a chest X-ray was done showing situs inversus totalis as an incidental finding.

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