Abstract

A female, dead abortus was studied in detail for academic interest. Detailed study revealed Situs inversus totalis. By this study an anatomical, embryological exploration for reverse organogenesis is proposed. Situs inversus totalis with dextrocardia was detected incidentally in an aborted foetus in routine dissection kept for research work in Kamineni Institute of Medical Sciences, narketpally. The term Situs inversus is a short form of the Latin phrase “Situs inversus viscerum”, meaning inverted position of the internal organs. The Situs inversus totalis is a rare syndrome, with an estimated prevalence of 1/10,000 births, characterized by the inverted position of the thoracic and abdominal organs with respect to the sagittal plane. Situs inversus totalis, a not so uncommon congenital positional anomaly can be a diagnostic problem at times. The condition affects all major structures within the thorax and abdomen. Surgeons and radiologists should be aware of this anomaly, during preoperative and surgical management. Routine premedical examination helps the patient to be aware of his condition, thereby preventing wrong diagnosis possibly death due to delay in surgical management.

Highlights

  • Situs inversus is a short form of the Latin phrase “Situs inversus Viscerum” meaning “inverted position of the internal organs, as first described by Marco Severino in 1643

  • Encouragement of routine premedical examination helps the patient to be aware of his condition, thereby preventing wrong diagnosis possibly leading to death due to delay in surgical management

  • Situs inversus totalis is a condition in which the organs of the chest and abdomen are arranged in a perfect mirror image reversal of the normal positioning

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Summary

Introduction

Situs inversus is a short form of the Latin phrase “Situs inversus Viscerum” meaning “inverted position of the internal organs, as first described by Marco Severino in 1643. All dead, aborted foetuses are dissected in the Department of anatomy of KIMS, Narketpally. The index case showed the Situs inversus totalis. Normal human development results in an asymmetrical arrangement of the organs within the chest and abdomen. Mirror image i.e. transposition of abdominal and thoracic viscera is termed Situs inversus totalis. It has shown the anomalies of rotation, fixation during the development, a perfect mirror image. Such relationship between the organs is does not lead to functional problems in most

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