Situs inversus totalis in a newborn: A case report

Authors

  • Ronita DC Luke Department of Paediatrics
  • Irene E Akhigbe Department of Paediatrics
  • Abubakarr B Bah Department of Paediatrics

Keywords:

Situs inversus, Dextrocardia, Transposition of Great Arteries, Newborn

Abstract

Introduction: Situs inversus with dextrocardia is the complete inversion of position of the thoracic and abdominal viscera. It may be isolated or associated with malformations, especially cardiac and/or alimentary. It may be discovered in infancy because of associated anomalies but often remains asymptomatic and discovered incidentally in adult life. Case presentation: We present a 19-day-old female newborn found to have dextrocardia with situs inversus totalis. A chest Xray showed her heart in the right hemithorax with the cardiac apex pointing towards the right. The findings at echocardiography confirmed the location of her heart in the right hemithorax with Transposition of great arteries (TGA) and ventricular septal defect (VSD). An abdominal sonogram showed her liver on her left side whereas her stomach and spleen were located on the right side. 
Conclusion: There is need for newborn babies to have a thorough physical examination after delivery and before discharge to enable early diagnosis of congenital anomalies for appropriate referral.

Author Biographies

  • Ronita DC Luke, Department of Paediatrics

    University of Sierra Leone Teaching
    Hospitals Complex,
    Freetown - Sierra Leone.

  • Irene E Akhigbe, Department of Paediatrics

    University of Sierra Leone Teaching
    Hospitals Complex,
    Freetown - Sierra Leone.

  • Abubakarr B Bah, Department of Paediatrics

    University of Sierra Leone Teaching
    Hospitals Complex,
    Freetown - Sierra Leone.

References

Turk F, Yuncu G, Ozturk G, Ekinci Y, Semerkant T. Total situs inversus found coincidentally following a firearm injury.J Forensic Sci 2013;58(1):232–3. doi: 10.1111/j.1556- 4029.2012. 02256.x .

Eitler K,BibokA ,Telkes G .Situs inversus totalis: a clinical review. Int J Gen Med 2022; 15:2437 DOI: 10.2147% 2FIJGM.S295444 .

Edzie EK, Dzefi-Tettey K, Cudjoe O, Gorleku PN, Adu P. Incidental finding of dextrocardia with situs inversus in a 59-year-old ma [e-pub ahead of print]. Case Rep Radiol2019; 2019:7107293. doi:10.1155/2019/7107293 .

Madan Kumar K, Irineu, Babu C, Chander S, Kumar A, Balchander J, Nachipaan M: Complete A-V canal defect with dextrocardia with CCTGA – Acase Report. IJTCVS 2003;19:55.

Chib P, Grover DN, Shahi BN.Unusual occurrence of dextrocardia with situs inversus in succeeding generations of a family. J MedGenetics 1977;14:30-2.

Uchenna DI, Jesuorobo DE, Anyalechi JI. Dextrocardia with situsinversustotalis in an adult Nigerian: a case report. Am J Med Med-Sci 2012;2 (3):59-61.

Tabry IF, Calabrese J, Zammar H et al. Case report: offpump total myocardial revascularization for dextrocardia and situs inversus. Heart Surg Forum 2001; 4: 251–3.

Isezuo SA, Ma’aji SM, Isah U, Makusidi A: Dextrocardia with situs viscerum inversus totalis in a 65 year old man: a case report. Niger J Clin Pract 2010; 13(1):98–100.

Iino K, Watanabe G, Ishikawa N, Tomita S: Total endoscopic robotic atrial septal defect repair in a patient with dextrocardia and situs inversus totalis. Interact CardioVascThorac Surg 2012; 14(4):476–477.

Piryani RM, Shukla A, Prasad DN, Kohli SC, Shrestha G, Singh D: Situs inversus with dextrocardia with multiple cardiac lesions in adult. Kathmandu Univ Med J 2007; 5(2):247–249.

Perloff JK: The cardiac malposition. In The Clinical Recognition of Congenital Heart Disease. Fourth edition, India edition. Edited by Perloff JK. Philadelphia: Harcourt Brace & Company Asia PTE Ltd, W B Saunders Co; 1998:21–52. Chapter 3.

Kulkarni PR, Inamdar VV: Situs inversus with dextrocardia associated with ventricular septal defect – a case report, Abstract. J Anat Soc India 2005; 54(1):

Ortega HA, Vega Nde A, Santos BQ, Maia GT: Primary ciliary dyskinesia: considerations regarding six cases of Kartagener syndrome. J Bras Pneumol 2007; 33(5):602–608.

Downloads

Published

2025-04-20

How to Cite

Situs inversus totalis in a newborn: A case report. (2025). JOURNAL OF AFRICAN NEONATOLOGY, 3(1), 19 – 21. https://janeonatology.org/index.php/jan/article/view/131

Most read articles by the same author(s)

Similar Articles

1-10 of 17

You may also start an advanced similarity search for this article.