PERFORATED DUODENAL ULCER ASSOCIATED WITH SITUS INVERSUS AND DEXTROCARDIA
AbstractA 32 years old gentleman, presented in emergency department, with complaints of sudden onset of severe upper abdominal pain, associated with nausea and vomiting. He was a known case of acid peptic disease. His abdominal examination showed signs of peritonitis. X-ray chest showed pneumoperitoneum, with dextrocardia. Ultrasound showed situs inversus. Exploration confirmed the diagnosis of perforated ulcer and situs inversus. Grahm’s patch repair of perforation was done. His postoperative recovery was smooth.
Budhiraja S, Singh G, Miglani HP, Mitra SK. Neonatal intestinal obstruction with isolated levocardia. J Pediatr Surg 2000;35(7):1115–6.
Bartoloni L. Blovin JL. Pan Y. Gehrig C. Mai A. K Scamu N. Rossier C. et al. Mutation in the DNAH11(axonemal heavy chain gynein type 11) gene cause one form of situs inversus totalis and most likely primary cilliary dyskinesia. Proc Natl Acad Sci USA 2002;99(16):10282–6.
Djohan RS, Rodriguez HE, Weisman IM, Unti JA, Podbielski FJ. Laparoscopic cholecystectomy and appendectomy in situs inversus totalis. JSLS 2000;4(3):251–4.
Benhammana H, Kharmoum S, Terraz S, Berney T, Nguyen-Tang T, Genevay M, et al. Common bile duct adenocarcinoma in patient with situs inversus totalis- Report of a rare case. BMC Res Notes 2012;5:681.
Nonaka S, Tanaka Y, Okada Y, Takeda S, Harada A, Kanai Y, et al. Randomization of left –right asymmetry due to loss of nodal cilia generating leftward flow of extraembryonic fluid in mice laking KIF 3B motor protein. Cell 1998;95(6):829–37.
Agarwal A. Situs inversus totalis complicated with left middle lobe lung abscess. NJIRM 2013;4(2):178–80.
Tayeb M, Khan FM, Rauf F. Situs inversus totalis with perforated duodenal ulcer: a case report. J Med Case Rep 2011;5:279.
Bhattacharyya SK, Mandal A,Thakur SB. Clinicoradiological profile of lung abscess- Analysis of 120 cases. Int J Med Med Sci 2010;2(7):222–5.
Kim HB, Lee JH, Park DJ, Lee HJ, Kim HH, Yang HK. Robot assisted distal gastrectomy for gastric cancer in situs inversus totalis patient. J Korean Surg Soc 2012;82(5):321–4.
Treiger BF, Khazam R, Goldman SM, Marshall FF. Renal cell carcinoma with situs inversus totalis. Urolgy 1993;41(5):455–7.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.