Situs inversus, a very rare congenital
anomaly of reversal site of thoracic and abdominal organs, can be very
problematic to surgeon while dealing with a case of trauma in emergency.
Surgical procedures are considered difficult, complex and more challenging in
patients with this condition due to the anatomical difference and position of
organs. We came across an interesting and very rare case of isolated blunt
traumatic diaphragmatic injury in a case of situs inversus. Traumatic injuries
of the diaphragm are uncommon and isolated blunt traumatic injuries of
diaphragm are very rare. Our case is very unique of its kind of situs inversus
with isolated right sided diaphragmatic rupture in a 60-year-old male patient
presenting 4 hours after blunt trauma to chest and abdomen.
Benjelloun, E.B., Zahid, F.E., Ousadden, A., Mazaz, K. and Ait Taleb, K. (2008) A Case of Gastric Cancer Associated to Situs Inversus Totalis. Cases Journal, 1, 391. http://dx.doi.org/10.1186/1757-1626-1-391
Akbulut, S., Caliskan, A., Ekin, A. and Yagmur, Y. (2010) Left-Sided Acute Appendicitis with Situs Inversus Totalis: Review of 63 Published Cases and Report of Two Cases. Journal of Gastrointestinal Surgery, 14, 1422-1228.
Boulanger, B.R., Mizman, D.P., Rosati, C. and Rodriguez, A. (1993) A Comparison of Right and Left Blunt Traumatic Diaphragmatic Rupture. Journal of Trauma, 35, 255-260. http://dx.doi.org/10.1097/00005373-199308000-00014