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Situs Inversus: A Rare Find

S itus inversus (also called situs transverse) is a rare congenital condition in which the major visceral organs are reversed, or mirrored, from their normal position. The incidence of this condition in the population is less than 1 in 10,000 people. Situs is a Latin term that means “position.” The term situs inversus is a short form for the Latin phrase “situs inversus viscerum,” meaning “inverted position of the internal organs” (Situs inversus, 2007). There can be many degrees or forms of this rare condition. The anomalies can range from only one organ being inversed to situs inversus totalis in which all of the organs are positioned opposite their normal position. The case that is described in this article involves a gentleman with situs inversus totalis who was diagnosed on a routine esophagogastroduodenoscopy (EGD). According to Hernanz-Schulman (2005), the stomach may be located on the right, on the left, or in the midline. Gastric volvulus may occur because of faulty mesenteric attachments of the stomach. Malrotation anomalies encompass a wide spectrum that ranges from nonrotation to reversed rotation and faulty peritoneal attachments. The author further noted that duodenal atresia or stenosis may also be present.