Situs inversus with levocardia, infrahepatic interruption of the inferior vena cava, and azygos continuation: a case report

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• 作者：Alessandra Del Prete ; Carlo Cavaliere…
• 关键词：Anatomy ; Situs inversus incompletus ; Inferior vena cava ; Computed tomography ; Azygos continuation
• 刊名：Surgical and Radiologic Anatomy
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：38
• 期：3
• 页码：369-371
• 全文大小：542 KB
• 参考文献：1.Abut E, Arman A, Güveli H, Bölükbaş C, Kendir T, Dalay R, Övünç O (2003) Malposition of internal organs: a case of situs ambiguous anomaly in an adult. Turk J Gastroenterol 14(2):151–155PubMed
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• 作者单位：Alessandra Del Prete (1)
  Carlo Cavaliere (2)
  Francesco Di Pietto (3)
  Rosaria De Ritis (3)
  
  1. Department of Radiology “Magrassi-Lanzara”, Second University of Naples, Piazza Miraglia 2, 80131, Naples, Italy
  2. IRCCS Foundation SDN, Naples, Italy
  3. Department of Radiology, AORN Cardarelli, Naples, Italy
  
• 刊物主题：Imaging / Radiology; Orthopedics; Anatomy;
• 出版者：Springer Paris
• ISSN：1279-8517

文摘

Situs inversus incompletus is a rare congenital condition in which the major abdominal organs are reversed or mirrored from their normal positions. It is often associated with multiple congenital anomalies. We present the case of a 38-year-old woman with dyspnea and a clinical history of chronic kidney disease and kidney transplantation. Echocardiography showed a right atrial mass, and analysis of multidetector computed tomography angiography revealed the interruption of the inferior vena cava with an increase of the azygos vein and azygos continuation. These congenital malformations are often associated with deep vein thrombosis and/or pulmonary thromboembolism and explained the occurrence of dyspnea. Cardiac magnetic resonance with contrast medium confirmed the presence of the right atrial mass, the characteristics of which were attributed to interatrial thrombus, which was further confirmed by the success of thrombolytic therapy and the remission of symptoms. In conclusion, we described a case of situs inversus with levocardia in association with infrahepatic interruption of the inferior vena cava, and azygos continuation with cardiac thrombus and chronic renal failure.