Situs Inversus Totalis in a Dog With a Chronic Diaphragmatic Hernia

2009 ◽  
Vol 45 (5) ◽  
pp. 245-248 ◽  
Author(s):  
Tige H. Witsberger ◽  
David I. Dismukes ◽  
Efrat Y. Kelmer
Keyword(s):  
Case Report ◽  
Diaphragmatic Hernia ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Doberman Pinscher ◽  
Clinically Normal ◽  
Normal Orientation ◽  
Congenital Condition ◽  
Thoracic And Abdominal

Situs inversus totalis is a rare, congenital condition that is characterized by the development of the thoracic and abdominal viscera in a mirror image to their normal orientation. This case report describes the condition in a 4-year-old, spayed female Doberman pinscher that was evaluated for dyspnea following sedation. Radiography confirmed a diaphragmatic hernia. Situs inversus was discovered during surgical correction. The diaphragmatic rent was repaired, and the dog was clinically normal at recheck 13 months after surgery.

scholarly journals Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

2015 ◽  
Vol 72 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Milica Petrovic ◽  
Violeta Rabrenovic ◽  
Dusica Stamenkovic ◽  
Neven Vavic ◽  
Zoran Kovacevic ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Situs Inversus ◽  
Iliac Fossa ◽  
Preoperative Evaluation ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Image Reversal ◽  
The Right

Introduction. Situs inversus totalis (SIT) represents a total vertical transposition of the thoracic and abdominal organs which are arranged in a mirror image reversal of the normal positioning 1. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with SIT and the longest donor follow-up period, along with analysis of the reviewed literature. Case report. The pair for pre-dialysis kidney transplantation included a 68-year-old mother and 34-year-old daughter at low immunological risk. Comorbidities evidenced in kidney donors with previously diagnosed SIT, included moderate arterial hypertension and borderline blood glucose level. Explantation of the left donor kidney and its placement into the right iliac fossa of the recipient were performed in the course of the surgical procedure. A month after nephrectomy, second degree renal failure was noticed in the donor. A 20-month follow-up of the donor?s kidney and graft in the recipient proved that their functions were excellent. Conclusion. In donors with previously diagnosed SIT the multidisciplinary approach, preoperative evaluation of the patient and detection of possible vascular anomalies are required to provide maximum safety for the donor.

scholarly journals Right Hemihepatectomy via an Anterior Approach for Hepatocellular Carcinoma in a Situs Inversus Totalis Patient

2020 ◽  
Vol 14 (1) ◽  
pp. 91-97
Author(s):  
Rong-Dang Fu ◽  
Jie-Yuan Li ◽  
Xiao-Hong Zhang ◽  
Huan-Wei Chen
Keyword(s):  
Hepatocellular Carcinoma ◽  
Situs Inversus ◽  
Anterior Approach ◽  
Middle Hepatic Vein ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Right Hemihepatectomy ◽  
Glissonian Approach ◽  
Congenital Condition ◽  
Chest X Ray

Situs inversus totalis (SIT) is a rare congenital condition in which the usual position of the organs is reversed from left to right as a mirror image of the normal situation. Due to the abnormal transposition, this represents a technical challenge for the surgeon. In the present study, right hemihepatectomy via the anterior approach was performed for a 68-year-old hepatocellular carcinoma (HCC) patient with SIT. SIT was diagnosed by chest X-ray and computed tomography. The tumors were located in segments VIII and VI of the liver, and there was no metastasis to the lymph nodes and distant organs. Hemihepatic vascular inflow occlusion was performed using the selective intra-Glissonian approach. The middle hepatic vein was preserved under the guidance with intraoperative ultrasonography. The present case suggests that right hemihepatectomy via the anterior approach may be a safe, feasible, and effective procedure for HCC patients with SIT.

scholarly journals Laparoscopic Approach In Patient With Situs Inversus Totalis And Colelithiasis: A Case Report

10.3823/2523 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Deborah Marques Centeno ◽  
Tiago Galan França ◽  
Acacio Augusto Centeno ◽  
Marcos Antonio neves Noronha ◽  
Carolina Ribeiro Mainardi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Situs Inversus ◽  
Surgical Intervention ◽  
Laparoscopic Approach ◽  
Situs Inversus Totalis ◽  
Complete Evaluation ◽  
Previous Diagnosis ◽  
Congenital Condition ◽  
Normal Health

Title: Laparoscopic Approach in Patient with Situs Inversus Totalis and Colelithiasis: a Case Report. Background: Situs Inversus Totalis is a rare clinical condition that gives a mirror aspect to the position of the organs. It is a congenital condition and though it does not affect normal health or longevity, it may be a challenge in cases requiring surgical intervention. Case: The authors report a case of cholelithiasis in a patient with previous diagnosis of Situs Inversus Totalis. The patient presented abdominal pain, related to eating and associated with nausea and vomiting. After the image exams, it was performed the surgical procedure, without intercurrences. Conclusion:Situs Inversus Totalis is a challenge for surgical approach because of the mirrored configuration of the organs, which can lead to misdiagnosis. Using image exams anda complete evaluation of the patient helps the correct management in caso of surgical procedures, and consequently influence in the prognosis.

scholarly journals Laparoscopic Cholecystectomy for Severe Acute Cholecystitis in a Patient with Situs Inversus Totalis and Posterior Cystic Artery

2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
Theodoros E. Pavlidis ◽  
Kyriakos Psarras ◽  
Apostolos Triantafyllou ◽  
Georgios N. Marakis ◽  
Athanasios K. Sakantamis
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Situs Inversus ◽  
Anatomical Variations ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Cystic Artery ◽  
Quadrant Pain ◽  
Abdominal Organs ◽  
Thoracic And Abdominal

Situs inversus totalis is an inherited condition characterized by a mirror-image transposition of thoracic and abdominal organs. It often coexists with other anatomical variations. Transposition of the organs imposes special demands on the diagnostic and surgical skills of the surgeon. We report a case of a 34-year-old female patient presented with left upper quadrant pain, signs of acute abdomen, and unknown situs inversus totalis. Severe acute cholecystitis was diagnosed, and an uneventful laparoscopic cholecystectomy was performed. A posterior cystic artery was identified and ligated. Laparoscopic cholecystectomy is feasible in patients with severe acute calculus cholecystitis and situs inversus totalis; however, the surgeon should be alert of possible anatomic variations.

scholarly journals Minimally invasive esophagectomy with intrathoracic anastomosis in a situs inversus totalis patient

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Yunchong Meng ◽  
Han Xiao ◽  
Zheng Zhang ◽  
Kuo Li ◽  
Quanfu Huang ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Situs Inversus ◽  
Minimally Invasive Esophagectomy ◽  
Rare Condition ◽  
Situs Inversus Totalis ◽  
Intrathoracic Anastomosis ◽  
Invasive Esophagectomy ◽  
Abdominal Organs ◽  
Congenital Condition ◽  
Thoracic And Abdominal

Abstract Situs inversus totalis (SIT) is a rare congenital condition, which is characterized by abnormal placement of the thoracic and abdominal organs. The incidence of this condition is estimated to be from 1/8000 to 1/25,000. There have been minimal reports on SIT patients with esophageal cancer. In this report, we discuss a patient with SIT complicated by middle and lower esophageal cancer who underwent laparoscopic and thoracoscopic esophagectomy with intrathoracic anastomosis, and provide useful information with regards to treatment of this rare condition.

scholarly journals Laparoscopic Sigmoidectomy for a Patient With Situs Inversus Totalis: Effect of Changing Operator Position

2015 ◽  
Vol 100 (4) ◽  
pp. 638-642 ◽  
Author(s):  
Mizunori Yaegashi ◽  
Toshimoto Kimura ◽  
Takashi Sakamoto ◽  
Tadao Sato ◽  
Yuichiro Kawasaki ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Situs Inversus ◽  
Operating Time ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Laparoscopic Sigmoidectomy ◽  
Vascular Abnormalities ◽  
Congenital Condition ◽  
Well Differentiated ◽  
The Right

Situs inversus totalis (SIT) is a rare congenital condition in which the abdominal and thoracic organs are on the opposite sides to their normal anatomic positions. Reports of laparoscopic surgery for colorectal cancer with SIT are very few. Due to the mirror-image transposition of organs and vascular abnormalities, laparoscopic surgery for patients with SIT is technically complicated. Therefore, it has been reported as easier for left-handed surgeons. This report presents that operative procedures can be conducted as usual by changing the positions of the operator and assistants, even if the operator is right-handed. A 71-year-old woman visited our hospital with a 2-month history of hematochezia. Colonoscopy revealed an ulcerative tumor in the sigmoid colon and biopsy confirmed well-differentiated adenocarcinoma. Laparoscopic sigmoidectomy radical lymphadenectomy was performed. The operating time was 189 minutes and blood loss was 13 mL. The patient was discharged on postoperative day 7, without any complications. We report that complicated surgical procedures for patients with SIT can be simplified by changing viewpoints. Due to the altered anatomy in SIT, the positions of the operator and assistants are very important. Location of the pelvis is almost the same as in orthotopic patients, by moving the operator from the left side to the right side of the patient. Changing the position of the operator to the right side seems to be effective for patients with SIT during pelvic procedures.

scholarly journals Situs Inversus Totalis: A Rare Congenital Anomaly and the Presence of COPD Giving a Concept of Dextroposition with Limb Lead Reversal in ECG

2017 ◽  
Vol 31 (2) ◽  
pp. 100-103
Author(s):  
Khandker Md. Nurus Sabah ◽  
Abdul Wadud Chowdhury ◽  
Mohammad Shahidul Islam ◽  
Mohammad Gaffar Amin ◽  
Md Azizul Hassan Khandakar ◽  
...  
Keyword(s):  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Medical Attention ◽  
Chronic Obstructive ◽  
Medical Illness ◽  
Normal Position ◽  
Obstructive Pulmonary Disease ◽  
Points Of View ◽  
Thoracic And Abdominal

Situs inversus totalis is the mirror-image of normal position of the thoracic and abdominal viscera. It may be detected incidentally when the patient seek medical attention for other medical illness. From medico-legal points of view, this rare disorder is important in many ways for a junior physician to prevent a big mishap, especially surgical. Here, we report a case, who was 55- year-old, seeking medical attention for infective exacerbation of chronic obstructive pulmonary disease incidentally diagnosed as a case of situs inversus totalis.Bangladesh Heart Journal 2016; 31(2) : 100-103

scholarly journals Laparoscopic simple nephrectomy patient wıth situs inversus totalis and left renal hypoplasia: A case report

2015 ◽  
Vol 9 (7-8) ◽  
pp. 521 ◽  
Author(s):  
Haci Ibrahim Cimen ◽  
Yavuz Tarik Atik ◽  
Oztug Adsan
Keyword(s):  
Case Report ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Renal Hypoplasia ◽  
Normal Side ◽  
Laparoscopic Procedures ◽  
Abdominal Organs ◽  
Opposite Position ◽  
Thoracic And Abdominal

Situs inversus totalis (SIT) is a relatively rare anatomical condition characterized by the transposition of thoracic and abdominal organs from the normal side to the opposite position. Most reports of laparoscopic procedures in patients with SIT cite technical difficulties and longer operative times due to disorientation because of the reversed abdominal organs and necessary modification of the surgeon’s movements and techniques. We present a case of a patient with SIT in whom a transperitoneal laparoscopic simple nephrectomy was performed.

Robotic‐assisted surgery for rectal cancer with situs inversus totalis: A case report

2021 ◽  
Author(s):  
Shunsuke Kasai ◽  
Hitoshi Hino ◽  
Akio Shiomi ◽  
Hiroyasu Kagawa ◽  
Shoichi Manabe ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery
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