Incidental Finding of Dextrocardia with Situs Inversus and Absent Left Kidney: A Case Report

Abstract

Dextrocardia is an unusual inherent positioning of the heart: during fetal life, the heart is flipped to the right side rather than the usual left side. Situs inversus is a rare congenital ailment in which the main internal organs are rearranged or reflected from their natural positions, and when both conditions are present, it is called situs inversus totalis. The majority of the people with situs inversus totalis are unaware of the situation they have because most of them are asymptomatic. It is usually discovered incidentally when they consult the doctor for an unrelated condition. We are reporting a case of a 55-year-old woman who was found to have a situs inversus totalis with an absent left kidney.

Keywords: case report; dextrocardia; renal agenesis; situs inversus..

Figure 1. Chest X-ray showing dextrocardia.

Figure 2. CT abdomen showing liver on left hypochondrium (solid arrow), and spleen on right hypochondrium (empty arrow).

Figure 3. CT abdomen showing aorta on the right side (empty arrow) and inferior vena cava on left side (solid arrow).

Figure 4. CT abdomen showing normal right pelvicalyceal system and non-visualized left pelvicalyceal system.

Figure 5. CT abdomen, left kidney cannot be visualized.