Incomplete Situs Inversus Revealed by Acute Pain of the Right Hypochondrium

作     者：Alice Nanelin Guingané Julien Sawadogo Adjirata Koama Bénilde Marie-Ange Tiemtoré-Kambou Roger Sombié Alain Bougouma Alice Nanelin Guingané;Julien Sawadogo;Adjirata Koama;Bénilde Marie-Ange Tiemtoré-Kambou;Roger Sombié;Alain Bougouma

作者机构：Service d’hépato-gastroentérologie CHU Bogodogo Ouagadougou Burkina Faso Service de chirurgie générale et digestive du CHU-YO Ouagadougou Burkina Faso Service de radiologie CHU Bogodogo Ouagadougou Burkina Faso Service d’hépato-gastroentérologie CHU-YO Ouagadougou Burkina Faso 

出 版 物：《Open Journal of Gastroenterology》 (肠胃病学期刊（英文）)

年 卷 期：2022年第12卷第10期

页      面：263-270页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Situs Inversus Abdominal Pain Hypochondrium Abdominal CT Scan 

摘      要：Situs inversus is an abnormal placement of the thoracic and/or abdominal organs that are inverted right/left from normal. It is a rare congenital malformation often discovered in childhood. In adults, it can lead to misdiagnosis. Clinical case: A 35-year-old female patient, seen in a hepatogastroenterology consultation for acute spontaneous pain in the right hypochondrium. She had no particular clinical history. A diagnosis of hepatopathy was suspected. Abdominal and pelvic CT scans showed the left liver, stomach and spleen in the right hypochondrium, but with the heart in place, suggesting incomplete situs inversus. The evolution in our patient was spontaneously resolved with analgesics and antispasmodics, which leads us to believe that the volvulus was probably partial and without other complications. Conclusion: In developing countries, antenatal diagnosis of situs inversus is rare and is usually made during a pathology that leads the patient to a medical consultation. CT is one of the key paraclinical examinations for its diagnosis as genetic tests are not widely available.