Situs inversus totalis: patient with post Covid-19 infection

Chabukovska Radulovska, Jasminka and Petrovska, Tanja (2021) Situs inversus totalis: patient with post Covid-19 infection. Macedonia Journal of Anesthesia, 5 (1). pp. 91-95. ISSN 2545-4366

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Abstract

Situs inversus totalis (SIT) is an especially rare congenital condition with complete reverse
location of the thoracic and abdominal organs. People with situs inversus totalis sometimes are
unaware of their unusual anatomy condition until the moment they need some medical diagnostic
procedures or some surgical interventions. We present the case of the 41-years-old female, with
post COVID-19 infection in November 2020, with long lasting cough for two months, who was
referred to the Radiology Department for CT examination of the lungs. CT scan without contrast
was performed. We discovered a situs inversus totalis, where the heart was located on the right
side of the thorax, the stomach and spleen were situated on the right side of the abdomen and
the liver, gallbladder and duodenum were on the left side. CT scans of the lungs showed normal
lung density, without sign of the consolidation, pulmonary fibrosis or pleural effusion. The tho�racic and abdominal organs and the viscera were complementary inversed, as a mirror image of
the normal position of the internal organs. All laboratory tests were normal. No previous radio
diagnostic exams of the thorax or abdomen existed. Patient had the pregnancy and she gave a
birth in 2018, with no evidence of the situs inversus totalis. It is very important to make an evi�dence and inform the patient and medical professionals of the diagnosis of situs inversus totalis
in the direction to prevent future complications which can arise from patient’s assessment and
care, especially in cases of the accidental abdominal or thoracic organs trauma or in cases with
acute infection condition as cholecystitis, appendicitis

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences
Divisions:	Faculty of Medical Science
Depositing User:	Tanja Petrovska
Date Deposited:	14 Feb 2024 11:52
Last Modified:	14 Feb 2024 11:52
URI:	https://eprints.ugd.edu.mk/id/eprint/33594

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