Radioisotope Scanning of the Liver and Spleen in Dextrocardia and in Situs Inversus with Levocardia.
نویسندگان
چکیده
KNOWLEDGE of the position of the abdominal organs is important in cardiac diagnosis. Thus a mirror-image dextrocardia is usually observed in a patient with complete situs inversus; this condition more frequently occurs in an otherwise normal individual than in one with a malformed heart. By contrast, when dextrocardia occurs without situs inversus, malformation of the heart is the rule. When the heart occupies its normal position but situs inversus of the viscera is present, the heart is almost always seriously malformed. Partial situs inversus is now known to be relatively common in patients with dextrocardia and severe multiple intracardiac defects and is occasionally seen in patients with levocardia. The term "visceral heterotaxy"1 has been used to denote partial situs inversus with a midline cecum or a symmetrical liver and is common in association with asplenia.2 Asplenia, although rare, is usually associated with severe cardiac malformations. Accurate localization of the liver may be difficult, especially if its lobulation is unusual or its contour symmetrical. Although the spleen when present uniformly lies on the same side as the stomach, the diagnosis of asplenia is uncertain. An ancillary method for the demonstration of the position of the liver and spleen appeared desirable. Radioisotope scanning of the liver was first described by Friedell et al.3 The basic principle of this method is the visualization of the
منابع مشابه
Radioisotope Scanning of the Liver and Spleen in Dextrocardia and in Situs Inversus
KNOWLEDGE of the position of the abdominal organs is important in cardiac diagnosis. Thus a mirror-image dextrocardia is usually observed in a patient with complete situs inversus; this condition more frequently occurs in an otherwise normal individual than in one with a malformed heart. By contrast, when dextrocardia occurs without situs inversus, malformation of the heart is the rule. When th...
متن کاملMyocardial Perfusion SPECT Imaging in Dextrocardia with Situs Inversus: A Case Report
Dextrocardia is a cardiac positional anomaly in which the heart is located in the right hemithorax with its base-to-apex axis directed to the right and caudad. Situs inversus is an autosomal recessive disorder that causes organs in the chest and abdomen to be positioned in a mirror image from their normal position. Dextrocardia may occur in isolation or as part of situs inversus. Similarly, sit...
متن کاملA Rare Case of Dextrocardia with Situs Inversus Totalis in a Patient of Diabetic Mother
Infants of diabetic mothers are significantly at higher risk for major congenital malformations, with cardiovascular anomalies that is the most frequent. In this study, we presented a rare case of dextrocardia and situs inversus totalis (mirror-image dextrocardia) with multiple congenital heart anomalies who was born from a diabetic mother.
متن کاملCongenital Heart Defects in Children with Dextrocardia: A Ten-Year Study
Background Dextrocardia is a malposition of the heart defined as the right-sided development of the heart. It can increase the likelihood of congenital heart defects or diseases (CHD) and the risk of related morbidities and mortalities. We aimed to determine the frequency of CHDs among Dextrocardia patients. Materials and Methods In a retrospective cross-sectional study the records of patients ...
متن کاملSitus Inversus - Report Of Twins
Dextrocardia with situs inversus (situs inversus totalis) is rare congenital anomaly which can be asymptomatic and compatible with normal life. Incidence is 1 in 10000. But in cases of situs inversus with levocardia association of congenital heart disease is high. We are presenting a pair of twins, born out of nonconsangunious marriage, from a primigravida mother, with an uneventful antenatal p...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Circulation
دوره 29 شماره
صفحات -
تاریخ انتشار 1964