Situs inversus with levocardia in a 15-year-old male adolescent: a case report.
Adolescent
Levocardia
Situs inversus
Situs inversus with levocardia
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
03 Dec 2023
03 Dec 2023
Historique:
received:
22
09
2023
accepted:
08
11
2023
medline:
4
12
2023
pubmed:
3
12
2023
entrez:
2
12
2023
Statut:
epublish
Résumé
Situs inversus with levocardia is a rare anomaly in which the heart is present in the left chest but the abdominal viscera are transposed. It is caused by a single incomplete penetration of an autosomal recessive gene. It is unclear what exactly causes situs inversus with levocardia. Even if situs inversus can be identified following a comprehensive physical examination, it is now possible to validate the results and search for further information and pathologies since medical imaging is so widely accessible. A 15-year-old Oromo male child from a remote area of Bale Zone presented to the Goba Referral Hospital's medical emergency outpatient department complaining of periumbilical pain that had persisted for 4 months. He frequently came to our hospital and was admitted three times with the same problem. Objectively, there was tenderness over the left lower quadrant and periumbilical area. The sonographic evaluation discovered the transposition of the liver and spleen with cardiac apex on the left side. He received conservative treatment with ceftriaxone 1 g intravenous twice a day and metronidazole 500 mg intravenous for 5 days, and he went home improved. Isolated levocardia is a rare form of situs inversus in which the heart is in the traditional levo position while the abdominal organs are in the dextro position. What causes situs inversus with levocardia is unknown. Despite the fact that situs inversus can be diagnosed after a thorough physical examination, medical imaging has allowed us to confirm the findings as well as understand more about diseases. Due to the severity of an underlying heart defect, situs inversus with levocardia has a dismal prognosis.
Sections du résumé
BACKGROUND
BACKGROUND
Situs inversus with levocardia is a rare anomaly in which the heart is present in the left chest but the abdominal viscera are transposed. It is caused by a single incomplete penetration of an autosomal recessive gene. It is unclear what exactly causes situs inversus with levocardia. Even if situs inversus can be identified following a comprehensive physical examination, it is now possible to validate the results and search for further information and pathologies since medical imaging is so widely accessible.
CASE
METHODS
A 15-year-old Oromo male child from a remote area of Bale Zone presented to the Goba Referral Hospital's medical emergency outpatient department complaining of periumbilical pain that had persisted for 4 months. He frequently came to our hospital and was admitted three times with the same problem. Objectively, there was tenderness over the left lower quadrant and periumbilical area. The sonographic evaluation discovered the transposition of the liver and spleen with cardiac apex on the left side. He received conservative treatment with ceftriaxone 1 g intravenous twice a day and metronidazole 500 mg intravenous for 5 days, and he went home improved.
CONCLUSION
CONCLUSIONS
Isolated levocardia is a rare form of situs inversus in which the heart is in the traditional levo position while the abdominal organs are in the dextro position. What causes situs inversus with levocardia is unknown. Despite the fact that situs inversus can be diagnosed after a thorough physical examination, medical imaging has allowed us to confirm the findings as well as understand more about diseases. Due to the severity of an underlying heart defect, situs inversus with levocardia has a dismal prognosis.
Identifiants
pubmed: 38042875
doi: 10.1186/s13256-023-04254-9
pii: 10.1186/s13256-023-04254-9
pmc: PMC10693697
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
499Informations de copyright
© 2023. The Author(s).
Références
Ann Surg. 1949 Feb;129(2):244-59
pubmed: 17859304
Am J Med Genet. 2001 Jul 15;101(4):345-55
pubmed: 11471158
Korean Circ J. 2013 Oct;43(10):705-9
pubmed: 24255657
Hepatogastroenterology. 2000 May-Jun;47(33):678-80
pubmed: 10919010
BMJ Case Rep. 2012 Aug 14;2012:
pubmed: 22892231
Int J Card Imaging. 1999 Apr;15(2):151-60
pubmed: 10453414
J Pediatr Surg. 2006 Jul;41(7):1237-42
pubmed: 16818055
AJR Am J Roentgenol. 2002 Dec;179(6):1429-35
pubmed: 12438031
Circulation. 1951 Feb;3(2):202-14
pubmed: 14812648
Am Heart J. 1965 Oct;70(4):440-8
pubmed: 5834189
Cleve Clin J Med. 1991 May-Jun;58(3):243-7
pubmed: 1893555
J Pediatr Surg. 2000 Jul;35(7):1115-6
pubmed: 10917309
Eur J Med Genet. 2006 Sep-Oct;49(5):349-62
pubmed: 16461029
Early Hum Dev. 2014 Dec;90(12):921-5
pubmed: 25448782
Indian J Surg. 2013 Jun;75(Suppl 1):41-3
pubmed: 24426508
JSLS. 2013 Jul-Sep;17(3):487-90
pubmed: 24018094
Cardiologia (Basel). 1952;20(2):80-103
pubmed: 14936039
J Thorac Imaging. 1995 Winter;10(1):43-57
pubmed: 7891396
Pediatr Dev Pathol. 2008 Jul-Aug;11(4):266-73
pubmed: 17378673
Abdom Imaging. 1999 Mar-Apr;24(2):178-84
pubmed: 10024407
BMJ Case Rep. 2013 Sep 19;2013:
pubmed: 24051152
Br Heart J. 1953 Oct;15(4):401-22
pubmed: 13093874
Acta Paediatr Suppl (Upps). 1955 Nov;44(Suppl 104):7-110
pubmed: 13292296