Situs Inversus Totalis in a 5-Month-Old Male Child Presenting with Cough -a Diagnostic case report

Background -Situs inversus totalis is a rare congenital condition where the major visceral organs in chest and abdominal cavity are reversed or mirrored from their normal positions.In individuals with this condition, the heart, stomach, liver, spleen, and other organs are located on the opposite side of the body compared to their typical placement. [1]In many cases, Situs inversus totalis does not cause any health problems and may go undetected unless discovered incidentally during medical tests for other reasons.However, the condition may complicate diagnosis and treatment of certain medical conditions, especially those involving the abdominal or thoracic organs. [2]Thus, healthcare providers should be aware of the condition when diagnosing and treating other medical issues in affected individuals.Surgical procedures or other medical procedures may need to be adjusted considering the reversed anatomy.Methods and results -In this diagnostic case report, we present the case of a 5-month-old male child who presented with complaints of cough and was subsequently diagnosed with situs inversus totalis supported with investigations like chest x-ray and USG.Conclusion -situs inversus totalis is rare and typically asymptomatic but it can lead to diagnostic challenges as well as can alter the medical and surgical procedures, especially in cases where associated medical conditions present with symptoms associated with abdominal and thoracic viscera.Aim of this case is to highlight the importance of considering these rare congenital conditions with unusual anatomical variations in clinical practice and assist practitioner in effective diagnosis of such rare anomalies.