Turk Figen, Yuncu Gökhan, Ozturk Gökhan, Ekinci Yasin, Semerkant Tolga
Department of Thoracic Surgery, Pamukkale University Faculty of Medicine, 20.070, Kinikli, Erenler Mah. 211.Sok No: 4B/4, Denizli, 20055, Turkey.
J Forensic Sci. 2013 Jan;58(1):232-3. doi: 10.1111/j.1556-4029.2012.02256.x. Epub 2012 Aug 24.
Situs inversus totalis is very rare and usually diagnosed coincidentally as it does not affect the patient's life. Being unaware of the patient's condition can lead to undesirable results from the surgeon and patient's point of view when an emergency and forensic surgical intervention is required. We present a case who was operated on urgently for a firearm injury after receiving a preoperative diagnosis of situs inversus totalis. In conclusion, situs inversus totalis can cause difficulties for surgeons in case of emergency surgery and is usually diagnosed coincidentally. There are a few cases of situs inversus with lung cancer in the literature but this is the first time a case with a firearm injury has been reported.
全内脏转位非常罕见,通常因不影响患者生活而在偶然情况下被诊断出来。当需要进行紧急和法医外科手术干预时,从外科医生和患者的角度来看,未意识到患者的病情可能会导致不良后果。我们报告一例在术前被诊断为全内脏转位后因枪伤而紧急接受手术的病例。总之,在紧急手术情况下,全内脏转位会给外科医生带来困难,且通常是偶然被诊断出来。文献中有几例内脏转位合并肺癌的病例,但这是首次报道一例伴有枪伤的病例。