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Isolated dextrogastria: a case report
K C Eze1, T T Marchie, C U Eze
1Department of Radiology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria. ezechallenge@yahoo.co.uk
West African Journal of Medicine
|April 29, 2010
Summary
Isolated dextrogastria, a rare congenital anomaly where the stomach is on the right, was identified in an 18-year-old woman during a medical exam. This case highlights the importance of recognizing situs anomalies to prevent misdiagnosis.
Area of Science:
- Radiology
- Medical Diagnostics
- Congenital Anomalies
Background:
- Isolated dextrogastria is a rare congenital anomaly characterized by a right-sided stomach with normal positioning of other abdominal and thoracic organs.
- Recognizing the spectrum of situs anomalies is crucial to avoid misdiagnosis due to altered anatomy.
Observation:
- An 18-year-old woman presented for a pre-university admission medical examination.
- A routine chest X-ray revealed the gastric air bubble positioned under the right diaphragm, deviating from the typical left-sided location.
Findings:
- Trans-abdominal ultrasonography confirmed a normally positioned liver in the right hypochondrium and a right-sided stomach.
- Barium meal imaging demonstrated a stomach with a reverse J shape and a reversed duodenal C loop.
Implications:
- Accurate identification of situs anomalies, like isolated dextrogastria, is essential for correct medical management.
- Radiographic marker placement techniques are critical for precise situs anomaly detection.
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