VACTER syndrome with situs inversus totalis
نویسندگان
چکیده
INTRODUCTION The association of situs inversus totalis (SIT) and VACTERL syndrome an extremely rare coincidence. PATIENTS The patient was first diagnosed as simple SIT with lumbosacral neoplasms according to the prenatal magnetic resonance imaging (MRI) examination; however, the local hospital ignored the important to physical examination so that missed anal atresia with fistula. The patient was presented to our hospital owing to constipation for 1 week. And then, she was diagnosed as VACTER syndrome with situs inversus totalis. RESULTS Anorectoplasty was performed to treat constipation, one month later, we performed intramedullary tumor resection and pathological diagnosis of ependymal cyst. Postoperative recovery was uneventful and the baby was doing well at 5-months follow up. CONCLUSION It is extremely necessary for careful physical examination and detailed auxiliary examination to each system (including echocardiography, MRI, and so on) when diagnosing SIT. Also, recognizing and understanding the spectrum of situs anomalies is important, which aids in the diagnosis of disease and accordingly plan the therapeutic interventions.
منابع مشابه
A 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 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 کاملSitus inversus totalis with azoospermia in a patient presenting with liver abscess
Situs inversus with dextrocardia is a rare congenital anomaly. Azoospermia and situs inversus may be encountered in ciliary dyskinesia syndromes. We report the case of a 30-year-old male who manifested situs inversus totalis, dextrocardia and azoospermia with maturation arrest at primary spermatogenesis who presented with liver abscess. The patient responded well to treatment with i.v. metronid...
متن کاملThoracic Endovascular Aortic Repair in A Situs Inversus Totalis Patient with Debakey Type 3 Dissection
Situs inversus totalis is a rare autosomal recessive congenital anomaly. There are very few reports in the published literature of abdominal aortic aneurysm in patient with situs inversus totalis, all of whom underwent open aneurysm repair. DeBakey type III acute aortic dissection is life threatening condition with organ malperfusion. A 74-year-old male, referred our department with back pain a...
متن کاملTwo Case Reports of Situs Inversus Totalis
Case A, a 27-year-old Iranian male and case B, a 22-year-old Afghani male, both presented to the Emergency Department of Shohadaye Hafte-Tir Hospital with multiple traumas due to car accidents. Neither was aware of his unusual anatomy. One case unaware two just right heart. Both patients were referred to the Imaging Department for CT scans and some radiographic studies. We discovered they ...
متن کامل