A 56-year-old male with paroxysmal atrial fibrillation refractory to class IC and class III antiarrhythmic drugs was admitted to our hospital for radiofrequency catheter ablation of atrial fibrillation. During preoperative examination situs inversus totalis was revealed. Pulmonary vein (PV) isolation was successfully performed with atrial fibrillation termination and elimination of all PV poten...

A 67-year-old man with a three-year history of non-scarring alopecia that progressed to alopecia totalis despite intralesional glucocorticoid injections is presented. He developed 20-nail dystrophy that was recalcitrant to antifungal and anti-inflammatory treatments. Biopsy of the nail matrix showed histopathologic features of lichen planus. Alopecia totalis and isolated lichen planus of the na...

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 were ...

We report a case of a Roux-en-Y gastric bypass (RYGB) in a morbidly obese patient with situs inversus totalis. Current experience with bariatric surgery in patients with situs inversus totalis shows that they can be operated on safely. The open approach in this case of a difficult anatomy may be beneficial and safer for the patient. The technique itself requires only minor modifications. The re...

INTRODUCTION In June 2013, the Journal of the American Academy of Dermatology published a report concerning successful treatment of 2 cases of alopecia totalis with hydroxychloroquine. This report was encouraging, as treatment of alopecia totalis is challenging and in most cases unsuccessful. The authors explained their results with the wide range of immunomodulatory effects that are attributed...

Situs inversus totalis is a rare congenital anomaly in which position of the heart and all abdominal viscera is reversed. Situs abnormalities usually go unnoticed but may be recognized by radiography or ultrasonography as an incidental finding or during evaluation for congenital heart diseases. We present such an extremely rare and to the best of our knowledge the third reported case of an inju...

Detorsion, cecopexy, cecostomy and tube cecostomy are the treatment options for acute cecal volvulus if there is no intestinal ischemia. Resection required if intestinal viability, necrosis, gangrene or perforation exists. After resection, primary anastomosis or ileostomy can be performed. First colonoscopic decompression testing may be appropriate in terms of saving time for elective surgery. ...

Situs inversus totalis is a rare autosomal recessive disorder characterized by transposition of the intra-abdominal as well as the intrathoracic viscera. We present the case of a 45-year-old Pakistani lady who had choledochal cyst with cholelithiasis in tandem with situs inversus totalis. We were faced with dilemmas both diagnostic and management during the course of her care. We share our expe...

A 76-year-old man with situs inversus totalis underwent a successful off-pump three-vessel coronary artery bypass surgery. The postoperative course was uneventful, and the patient was discharged 8 days later. At 9-month follow-up a coronary computed tomography angiography confirmed the viability of all of the grafts, and one year after the operation the patient remained asymptomatic. It compris...