A case of unusual visceral heterotaxy syndrome with isolated levocardia

Area of Science:

• Medical Imaging
• Human Anatomy
• Rare Diseases

Background:

• Situs inversus with isolated levocardia is a rare congenital condition.
• It is typically associated with significant cardiac anomalies.
• This presentation describes an unusual asymptomatic case.

Purpose of the Study:

• To report a rare case of situs inversus with isolated levocardia.
• To highlight the absence of congenital heart defects in this specific case.
• To document associated abdominal and splenic abnormalities.

Main Methods:

• Spiral computed tomography (CT) of the thorax and abdomen.
• Echocardiographic studies.
• Clinical case review.

Main Results:

• Confirmed situs inversus of abdominal organs and normal heart position (levocardia).
• Observed mirrored left lungs, midline liver, and left-sided inferior vena cava.
• Identified multiple splenic masses and splenic artery aneurysmal dilatation.

Conclusions:

• Situs inversus with isolated levocardia can occur without severe congenital heart defects.
• This case demonstrates unusual splenic and vascular anomalies.
• Further investigation into the spectrum of this rare condition is warranted.