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Case Report |

Imaging Diagnosis of Situs Inversus, Persistence of the Left Superior Vena Cava, Renal Agenesis and Anomaly of the Retroperitoneal Vessels in Niamey: A Case Report

Introduction: Situs inversus is a rare congenital malformation. It can be associated with other malformations. It is often discovered incidentally by medical imaging. The latter also makes it possible to take stock of all associated malformations. Observation: The authors report a particular association in a 4-year-old male patient. Following a transthoracic cardiac Doppler ultrasound indicated for dyspnea at the slightest effort. The examination revealed dextrocardia, minimal membranous septum interventricular communication with left-right shunt, ostium primum inter-atrial communication measured at 6 mm with moderate impact on the left atrium, good systolic function of both ventricles, thin heart valves, dry pericardium. The chest x-ray requested systematically highlighted dextrocardia, enlargement of the upper mediastinum, and a gastric air pocket visible under the right diaphragmatic dome. The thoraco-abdomino-pelvic scan carried out made it possible to demonstrate that the situs inversus was complete and associated with other anomalies. It was a type 3b superior cava venous return anomaly with a single left kidney and an anomaly of the retroperitoneal vessels. Conclusion: Situs inversus is a rare and particular congenital anomaly because it can be associated with several types of malformations, sometimes very complex. Hence the interest in carrying out a complete imaging assessment in cases of situs inversus.

Situs Inversus, Congenital Heart Disease, PVCSG, Renal Agenesis, Retroperitoneal Vessel Anomaly, Left IVC, Niamey

APA Style

Inoussa, B. D., Tijani, M. H., Habiba, T. M. S., Rabiou, S. M., Matallah, S., et al. (2024). Imaging Diagnosis of Situs Inversus, Persistence of the Left Superior Vena Cava, Renal Agenesis and Anomaly of the Retroperitoneal Vessels in Niamey: A Case Report. International Journal of Medical Imaging, 12(1), 1-4.

ACS Style

Inoussa, B. D.; Tijani, M. H.; Habiba, T. M. S.; Rabiou, S. M.; Matallah, S., et al. Imaging Diagnosis of Situs Inversus, Persistence of the Left Superior Vena Cava, Renal Agenesis and Anomaly of the Retroperitoneal Vessels in Niamey: A Case Report. Int. J. Med. Imaging 2024, 12(1), 1-4. doi: 10.11648/j.ijmi.20241201.11

AMA Style

Inoussa BD, Tijani MH, Habiba TMS, Rabiou SM, Matallah S, et al. Imaging Diagnosis of Situs Inversus, Persistence of the Left Superior Vena Cava, Renal Agenesis and Anomaly of the Retroperitoneal Vessels in Niamey: A Case Report. Int J Med Imaging. 2024;12(1):1-4. doi: 10.11648/j.ijmi.20241201.11

Copyright © 2024 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Budhiraja S, Singh G, Miglani HP, Mitra SK. Neonatal Intestinal Obstruction with Isolated levocardia. J Pediatr Surg. 2000; 35(7): 1115-6.
2. Kassi A, Kouassi J, Souaga K, Koffi E, Kassanyou S. Appendicite aiguë sur situs inversus: une forme topographique à ne pas méconnaitre à propos d'un cas. Médecine d'Afrique noire. 2004; 51: 429-31.
3. Johan T. Situs inversus, Asymmetry, and Twinning. Norway: University of Oslo, Norwegian Health Department, and the Anatomical Institute, Department of Mass Roentgenography; 1950; 33: 361-370.
4. Siewert JR, Feussner H, Scherer MA, Brune IB. Errors and danger in laparoscopic cholecystectomy. Chirurg. 1993; 64(4): 221-9.
5. Chinawa M, Amuche U, Uzodinma E. Situs invertus totalis chez un enfant atteint de sinusite chronique. Open Journal of Pediatrics. 2013; 3: 236-238. DOI: 10.4236/ojped.2013.33041.
6. Kouakou F, Mellier G, Audra P, Dargent D. Diagnostic prénatal d’un b. a. v congénital associé à une transposition corrigée des gros vaisseaux en situs inversus: A propos d’un cas. Mali médical. 2004; 2: 019.
7. Chardot C, Lecoeur J, Habineza C, Rudakubana C, Hitimana L, Hussein A. Situs inversus et mésentère commun: A propos d’un cas révélé par une invagination intestinale aigüe chez un garçon de 15 ans. Médecine d’Afrique noire. 1992; 39 (10): 672-676.
8. Sadiqi J, Aien MT, Nasery MN, Hamidi H. Situs Inversus with Dextrocardia. Mathews Journal. 2016; 1(3): 012.
9. Benjelloun H, Bakhatar A, Yassine N, Bahlaoui A. Association d’une dilatation des bronches et d’un situs inversus. Presse med. 2009. 38: 1200-1202. DOI: 10.1016/j.lpm.2008.08.016.
10. Ismail D, Ismayil Y, Yavuz A, Kemal P, Atalay S, Nurdan S. Laparoscopic Cholecystectomy in Patients With Situs Inversus Totalis: Literature Review of Two Patients. Iran Red Cres Med J. 2012. 14(12): 826-8. DOI: 10.5812/ircmj.4806.
11. Cha EM, Khoury GH. Persistent left superior vena cava. Radiology. 1972; 103: 375-381.
12. Gensini GG, Galdini P, Casaccio F, Blount SG. Persistent left superior vena cava. Am J Cardiol. 1959; 4: 677-685.
13. Winter FS. Persistent left superior vena cava: survey of world littérature and report of thirty additional cases. Angiology. 1954; 5: 90-132.
14. Schummer W, Schummer C, Fröber R. Persistent left superior vena cava and central venous catheter position: clinical impact illustrated by four cases. Surg Radiol Anat. 2003; 25(3-4): 315-21.
15. Mballa A, Mbo Amvene J, Jemea B, Magny TE, Menanga A, Kaze FP et al. Veine cave supérieure gauche. Health Sci Dis. 2018; 19(4): 128-133.
16. Sarodia BD, Stoller JK. Persistent left superior vena cava: case report and literature review. Respir Care. 2000 Apr; 45(4): 411-6.
17. Bunger PC, Neufeld DA, Moore JC et al. Persistent left superior vena cava and associated structural and functional considerations. Angiology. 1981; 32: 601–608.
18. Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal jugular versus subclavian access a systematic review. Crit Care Med 2002; 30: 454–460.
19. Waldemar I, Piotr G, Jaroslaw K. Haemothorax as a complication of subclavian vein cannulation with a haemodialysis: a case report. Anaesthesiology Intensive Therapy 2013, vol. 45, no 2, 89–92. ISSN 1642–5758.
20. Shi-Min Y, Raanani E, Shinfeld A, Kogan A. Persistent left and absent right superior vena cava. 2008, vol 66; pp 1300-1301 prevalence 0.1 à 0.5.
21. Marshall J. On the development of the great anterior veins in man and mammalia; including an account of certain remnants of foetal structure found in the adult, a comparative view of these great veins in the different mammalia, and an analysis of their occasional peculiarities in the human subject. Phil Trans Royal Soc 1850, 140: 133-170.
22. Rajabnejad Y, Aliakbarian M, Rajabnejad A, Motie MR. Left-sided inferior vena cava encountered during organ retrieval surgery: report of two cases. International Journal of Organ Transplantation Medicine. 2016; 7(4): 229-232.
23. Bass JE, Redwine MD, Kramer LA, Huynh PT, Harris JH. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radio graphics. 2000; 20(3): 639-52.
24. Elmortaji K., Debbagh A., Dakir M, Aboutaieb R, Meziane F. La veine cave inférieure gauche et la greffe rénale. PAMJ. 2019; 34: 109. doi: 10.11604/pamj.2019.34.109.20643.
25. Folger GM. Plain film identification of failure of inferior vena cava-right atrial continuity. Cath Cardiovasc Diag. 1977; 3(3): 267–77.
26. Bouattour Y, Marzouk S, Tlijani A, Jallouli M, Garbaa S, Ben Salah R. Malformations congénitales de la veine vave inférieure révélées par des thromboses veineuses: à propos de 3 cas. REVMED. 2017; A109–A248.
27. Seikaly MG., Ho PL., Emmett L., Fine RN., Teiani A. Chronic renal insufficiency in children: the 2001 annual report of the NAPRTCS. Pediatr Nephrol 2003 Aug; 18(8): 796-804.
28. Laurichesse Delmas H, Kohler M., Doray B., Lémery D., Francannet C., Quistrebert J., Marie C., Perthus I. Congenital unilateral renal agenesis: prevalence, prenatal diagnosis, associated anomalies. Birth Defects Res 2017 Sep 1; 109(15): 1204-1211.
29. Robson WL., Leung AK., Rogers RC. Unilateral renal agenesis. Adv Pediatr 1995; 42: 575-92.