Author(s)

Zakarimanana Lucas Randimbinirina^1*, Tsirimalala Rajaobelison¹, Medyno Lovasoa Mampiadana², Toky Mamin’ny Aina Rajaonanahary², Andriamihaja Jean-Claude Rakotoarisoa²

¹Department of Cardiovascular Surgery, Faculty of Medicine of Antananarivo, University of Antananarivo, Antananarivo, Madagascar.
²Department of Vascular Surgery, Faculty of Medicine of Antananarivo, University of Antananarivo, Antananarivo, Madagascar.

Situs inversus totalis (SIT) is a rare congenital anomaly characterized by dextrocardia associated with reverse anatomical position of abdominal and thoracic organs. We report a case of SIT in Malagasy male patient aged 41-year-old admitted to Emergency Unit for an acute abdominal pain located in left iliac fossa. Preoperative chest X-ray showed an image of dextrocardia with reverse location of gastric bubble under the right hemidiaphragm. CT scan showed a situs inversus totalis with an abscess appendicitis located in the left iliac fossa associated with right-sided cardiac position and reversed location of abdominal organs. Patient underwent laparotomy with appendicectomy. Postoperative period was uneventful.

Appendicectomy, Computed Tomography, Dextrocardia, Situs Inversus Totalis

Randimbinirina, Z. , Rajaobelison, T. , Mampiadana, M. , Rajaonanahary, T. and Rakotoarisoa, A. (2025) Dextrocardia with Situs Inversus Totalis: A Case Report in a Malagasy Patient. Case Reports in Clinical Medicine, 14, 313-318. doi: 10.4236/crcm.2025.147041.