Abstract Dextrocardia is a rare clinical phenomenon with a reported incidence of 1 in 5000–30000. Dextrocardia with situs solitus is often referred to as dextroversion, with the heart’s apex rotated into the right side of the chest. The authors report an incidental case of dextroversion in a patient who presented in the emergency department for evaluation of abdominal pain. An unmarried 40-year-old female, from Dharan was admitted in the emergency department of BP Koirala Institute of Health Sciences with complaints of pain in the left lumbar and hypochondriac region for 5 days. Her vitals were within the normal limits. On examination, her apex beat was heard in the right 5 th intercostal space in mid clavicular line. On respiratory examination, normal vesicular breath sound was heard on the right, whereas decrease air entry was noted on the left side of chest. Abdominal ultrasound revealed reniform structure with echogenicity similar to kidney in the periumbilical region with nonvisualization of left kidney in the left renal fossa. Echocardiogram revealed situs solitus with pseudo dextrocardia with normal chamber size and valves. Isolated dextroversion, without associated congenital cardiac deformities, is rare. Such patients are usually asymptomatic, and identification of such condition goes unforeseen unless patient present with cardiac or noncardiac symptoms in emergency department.
Chaudhary et al. (Thu,) studied this question.