Situs invertus totalis in a child with chronic sinusitis


Background: Total situs inversus, (also called situs transversus or oppositus) known as mirror image dextrocardia, is characterized by a heart on the right side of the midline while the liver is on the left side. Situs Inversus Totalis (SIT) is a congenital anomaly characterized by complete transposition of abdominal and thoracic organs. Patients with this anomaly usually lead a normal life. We report a fourteen-year old Nigerian who was found to have dextrocardia with situs inversus totalis while presenting for treatment for a different problem. Conclusion: Situs inversus totalis is a rare finding. This report underscores the need for routine screening of children so that such congenital anomalies can be identified and complications that follow it averted timely.

Share and Cite:

Maduabuchi, C. , Amuche, U. and Uzodinma, E. (2013) Situs invertus totalis in a child with chronic sinusitis. Open Journal of Pediatrics, 3, 236-238. doi: 10.4236/ojped.2013.33041.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Blegen, H.M. (1949) Surgery in situs inversus. Annals of Surgery, 129, 244-259. doi:10.1097/000 00658-194902000-00009
[2] Budhiraja, S., Singh, G., Miglani, H.P. and Mitra, S.K. (2000) Neonatal intestinal obstruction with isolated levocardia. Journal of Pediatric Surgery, 35, 1115-1116. doi:10.1053/jpsu.2000.7839
[3] Yokoyama, T., Copeland, N.G., Jenkins, N.A., Montgomery, C.A., Elder, F.F. and Overbeek, P.A. (1993) Reversal of left-right asymmetry: A situs inversus mutation. Science, 260, 679-682. doi:10.1126/science.8480178
[4] Casey, B. (1998) Two rights make a wrong: Human leftright malformations. Human Molecular Genetics, 7, 15651571. doi:10.1093/hmg/7.10.1565
[5] Nawaz, H., Matta, M., Hamchou, A., Jacobez, A.H. and Salem, A. (2005) Situs inversus abdominus in association with congenital duodenal obstruction: A report of two cases and review of the literature. Pediatric Surgery International, 21, 589-592. doi:10.1007/s00383-005-1412-y
[6] Kinney, T.B. and DeLuca, S.A. (1991) Kartagener’s syndrome. American Family Physician, 44, 133-134.
[7] Ortega, H.A., Vega Nde, A., Santos, B.Q. and Maia, G.T. (2007) Primary ciliary dyskinesia: Considerations regarding six cases of Kartagener syndrome. Brazilian Journal of Pulmonology, 33, 602-608. doi:10.1590/S1806-37132007000500017
[8] Isezuo, S.A., Ma’aji, S.M., Isah, U. and Makusidi, A. (2010) Dextrocardia with situs viscerum inversus totalis in a 65-year-old man: A case report. Nigerian Journal of Clinical Practice, 13, 98-100.
[9] Agirbashi, M., Hamid, R., Jennings, H.S. and Tiller, G.E. (2000) Situs inversus and hypertrophic cardiomyopathy in identical twins. American Journal of Medical Genetics, 91, 327-330. doi:10.1002/(SICI)1096-8628(20000424)91:5<327::AID-AJMG1>3.0.CO;2-S
[10] Distefano, G., Romeo, M.G., Grasso, S., Mazonne, D., Sciacca, P. and Mollica, F. (1987) Dextrocardia with and without situs viscerum in 2 siblings. American Journal of Medicine, 27, 929-934.

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.