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Updated: Apr 7, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
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Splenic Injury in Situs Inversus Totalis - A Surgical Challenge.

Bharat Kamath1, Ambarish S Chatterjee2, Iti Chandorkar2

  • 1Assistant Professor, Department of Surgery, Seth V.C. Gandhi & M.A. Vora Municipal General Hospital , Rajawadi, Ghatkopar (E), Mumbai, India .

Journal of Clinical and Diagnostic Research : JCDR
|July 9, 2015
PubMed
Summary
This summary is machine-generated.

Situs inversus totalis, a rare condition reversing organ positions, can lead to spleen injury from blunt trauma. This case highlights challenges in managing such rare congenital anomalies.

Keywords:
Blunt abdominal traumaCongenital anomalySplenectomy

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Area of Science:

  • Congenital anomalies
  • Surgical case reports
  • Medical imaging

Background:

  • Situs inversus totalis is a rare congenital condition characterized by complete reversal of thoracic and abdominal organ positions.
  • Situs abnormalities are often asymptomatic incidental findings on imaging or identified during investigations for congenital heart disease.

Observation:

  • A patient with situs inversus totalis presented with an injured spleen located in the right hypochondrium following blunt trauma.
  • This is the third reported case of splenic injury in a patient with situs inversus totalis.

Findings:

  • The injured spleen required splenectomy.
  • Associated congenital heart defects and visceral anatomical variations complicated anesthetic and surgical management.

Implications:

  • Managing patients with situs inversus totalis presents unique challenges due to anatomical variations.
  • Awareness of potential splenic injury in situs inversus totalis is crucial for prompt diagnosis and treatment.