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Atypical presentation of situs inversus totalis with pulmonary tuberculosis

Author: 
Kapil Sharma, Sheena Taneja, DPS Sudan, Sharma, B.B., Wadhwa, T.C. Monica Sharma and Birendra Kumar Yadav
Subject Area: 
Health Sciences
Abstract: 

Background: Situs Inversus Totalis is a congenital positional anomaly characterized by transposition of thoracic and abdominal organs which is mirror image of normal anatomical position.The exact etio-pathogenesis is unclear and inheritance reported is autosomal recessive and X-linked inheritance. It is usually associated with syndromes such as Kartagener syndrome or Primary Cilliary Dyskinesia (PCD). Case Presentation: We present a case of 25 years old male patient having symptoms of cough, loss of appetite, generalized weakness for 5 months. Plain X-ray Chest, sputum microscopy and Contrast Enhanced Computed Tomography (CECT) thorax and abdomen were done and he was diagnosed as Pulmonary and Abdominal Tuberculosis inSitus Inversus Totalis. Conclusion: Detailed systemic examination is mandatory in cases of Situs Inversus Totalis for correct diagnosis. Contrast Enhanced Computed Tomography (CECT) thorax and abdomen are important investigations for further appropriate management.

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