E-ISSN 2149-9934
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Penetrating Thoracoabdominal Trauma in a Patient with Situs Inversus Totalis: A Case Report and Review of the Literature
1 Department of General Surgery, Başkent University Adana Hospital, Adana, Turkey  
JEMCR 2018; 9: 19-22
DOI: 10.5152/jemcr.2018.2028
Key Words: Situs inversus, trauma, wounds, penetrating
Abstract

Introduction: Situs inversus totalis is a rare congenital anomaly in which the thoracic and abdominal organs are located in mirror positions compared to their usual anatomical locations. Trauma in a patient with situs inversus totalis is unexpected in daily emergency and surgical settings.

 

Case Report: We present the case of a 36-year-old male patient who had multiple stab wounds to the thoracoabdominal region, and situs inversus totalis was coincidentally diagnosed. We detected diaphragmatic laceration with gastric perforation and repaired it primarily.

 

Conclusion: This anatomic anomaly could be challenging for acute care surgeons during surgical management if it is not preoperatively recognized. We also reviewed and presented identifying characteristics of trauma patients with situs inversus totalis in the literature.

 

 

Cite this article as: Akkapulu N, Parlakgümüş A, Ezer A. Penetrating Thoracoabdominal Trauma in a Patient with Situs Inversus Totalis: A Case Report and Review of the Literature. J Emerg Med Case Rep 2018; 9: 19-22.

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AVES | Copyright © 2018 Emergency Medicine Physicians Association of Turkey | Latest Update: 16.07.2018