Partial situs inversus: duodenal obstruction in a neonate with isolated levocardia

G I Tryfonas, C Chaidos, P P Avtzoglou, J Zioutis, A Klokaris, A Papanastasopoulos
Journal of Pediatric Surgery 1992, 27 (12): 1584-6
An unusual case of duodenal obstruction in an infant with isolated levocardia is described. The following anatomic features were shown preoperatively: (1) duodenal obstruction; (2) right-sided stomach and spleen; (3) left-sided liver; (4) totally right-sided located colon in mirror image nonrotation; and (5) levocardia without any defect or dysfunction. The mentioned findings were verified intraoperatively and the cause of the duodenal obstruction was found to be an aberrant vessel. This case is a rare one regarding the lack of heart and spleen defects and the cause of duodenal obstruction. It also demonstrates the necessity of meticulous investigation and precise description of the anomaly and suggests individualization as far as the management of these cases is concerned.


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