Multiple stab wounds on the left side of the chest in a patient with Situs Inversus Totalis: A lifesaving coincidence
| Autor: | Robson Amaral, Orli Franzon, Caique M.P. Ternes, João Vítor Ternes Rech, Franciele Kuhn Mesacasa, Ismael Escobar Capriata |
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| Rok vydání: | 2020 |
| Předmět: |
Stab wound
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Population Cardiology Situs inversus totalis 030230 surgery Trauma Article 03 medical and health sciences QRS complex 0302 clinical medicine T wave otorhinolaryngologic diseases medicine education Hemopneumothorax education.field_of_study Surgical team business.industry food and beverages medicine.disease Appendicitis Surgery Situs inversus 030220 oncology & carcinogenesis Emergency business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.05.088 |
| Popis: | Highlights • Reports of surgery in patients with SIT. • Outcomes of emergency surgeries in patients with SituS Inversus Totalis can be different than those expected in the general population due to anatomical differences. Introduction Situs Inversus Totalis (SIT) is a rare finding of complete reversal of the thoracic and abdominal organs with an estimated incidence of 0.005%–0.01% in the population. Severe trauma has not been reported in this population. We present a case of multiple chest stab wounds in a patient with previously unknown SIT. Presentation of case A 39-year-old male was admitted to the emergency room with multiple stab wounds on the left side of the chest. Upon admission the patient was hypotensive, with miosis and intubated. Significant ECG findings were an inverted P wave, inverted QRS complex and inverted T wave in V1. A chest CT scan showed SIT, hemopneumothorax on the left side and, despite multiple stab wounds on the left side of the chest, no cardiac damage. The surgical team decided for a conservative approach and the patient remained in the ICU for two days. After five days he was discharged in good clinical conditions. Discussion SIT generally does not have a clinical relevance throughout the patients life and most diagnoses are coincidental. However, when discovered in acute surgical cases, it requires an accurate evaluation by the surgical team due to anatomical differences that may produce undesirable outcomes in emergency cases such as appendicitis and general trauma. Conclusion There have been very few reports of SIT and trauma in the medical literature. This might be the first ever reported case of a patient with SIT who suffered multiple stab wounds on the left side of the chest and was saved because of his condition. |
| Databáze: | OpenAIRE |
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