A case of Situs Inversus Totalis: Embryological and clinical considerations

Mohamed Swarhib*, Srijit Das, Ohnmar Htwe

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Introduction: Situs Inversus is a congenital anomaly characterized by the transposition of the thoracic and abdominal viscera. When associated with dextrocardia, it is termed as Situs Inversus Totalis. The anomaly results from mechanical disturbance during the rotation of the gut during its development. The anomaly is rare and can pose a diagnostic dilemma if associated with chest pain. Objective: To highlight the diagnostic dilemma in a patient with Situs Inversus Totalis. Method: Clinical report and literature review. Result: We hereby report a case of situs inversus totalis in 50-year-old man who presented with the complaint of chest pain. Although situs inversus is a rare condition, the attending physician should pay proper attention to the patients who present with chest pain whether it is right or left sided. Conclusion: Many cases remain undetected due to the lack of symptoms. The present case illustrates the embryological and clinical aspect of a case of situs inversus totalis.

Original languageEnglish
Pages (from-to)264-265
Number of pages2
JournalInternational Medical Journal
Issue number2
Publication statusPublished - Apr 2013
Externally publishedYes


  • Chest pain
  • Dextrocardia
  • Gut rotation
  • Situs inversus totalis
  • Sudden death

ASJC Scopus subject areas

  • General Medicine


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