A Rare Association of Situs Inversus Totalis and Pulmonary Carcinoma: A Case Report
Yahya Mokhlis
*
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
Mohamed Fadil
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
Asaad El Bakkari
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
Fatimazahrea Laamrani
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
Youssef Omor
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
Rachida Latib
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
Sanae Amalik
Mohammed V University, Rabat, Morocco and Radiology Department, The National Institute of Oncology, University Hospital Ibn Sina, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Situs inversus totalis is a laterality disorder, consisting of a complete mirror image of thoracic, visceral organs, and vessels. It is a congenital condition, with ciliary dyskinesia suggested as an etiological factor among others. The incidence rate varies from 1/8000 to 1/25,000. It is an asymptomatic anatomical variation that may be revealed in different circumstances. Imaging techniques such as CT scan and MRI can diagnose SIT and assess other fine anatomical variations. Our case is about an association between SIT and pulmonary carcinoma. The surgical treatment in this case requires pre-operative planning to study the vascular and bronchial variation, and it can be a challenging procedure for the surgeon. We present a case of a 70-year-old man with situs inversus totalis and disseminated inoperable pulmonary carcinoma.
Keywords: Situs inversus totalis, pulmonary carcinoma, ciliary dyskinesia, CT scan