{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:55:49Z","timestamp":1777694149335,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Dextrocardia with situs inversus totalis (SIT) is a rare congenital anomaly involving complete mirror-image reversal of thoracic and abdominal organs, which may complicate diagnostic evaluation and management despite often being benign. We report a 45-year-old Ethiopian woman with type 2 diabetes mellitus and hypertension who presented with dry cough, right-sided pleuritic chest pain, dyspnea, and low-grade fever. Examination revealed respiratory distress and a right-sided cardiac apex, while laboratory workup demonstrated anemia, impaired renal function, and proteinuria. Imaging confirmed SIT with right lower lung consolidation and incidental cholelithiasis, and electrocardiogram (ECG) showed extreme right-axis deviation with absent R-wave progression; echocardiography revealed normal intracardiac anatomy and preserved function. Although SIT is commonly discovered incidentally, reversed anatomy can create diagnostic challenges and requires careful clinical correlation, particularly in settings with limited imaging availability. This case highlights the importance of recognizing SIT to prevent misinterpretation, guide safe management, and contribute to the limited regional epidemiological data.<\/jats:p>","DOI":"10.1177\/11795476261439206","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:19:31Z","timestamp":1775467171000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dextrocardia with Situs Inversus Totalis in an Ethiopian Woman: A Case Report"],"prefix":"10.1177","volume":"19","author":[{"given":"Tsegaab","family":"Mesele","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hawassa University Comprehensive Specialized Hospital, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9069-7898","authenticated-orcid":false,"given":"Kebron W.","family":"Aweke","sequence":"additional","affiliation":[{"name":"School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5150-2364","authenticated-orcid":false,"given":"Gelila S.","family":"Kassa","sequence":"additional","affiliation":[{"name":"School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0556-4071","authenticated-orcid":false,"given":"Mikiyas G.","family":"Teferi","sequence":"additional","affiliation":[{"name":"School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muluken Bekele","family":"Wondimagegnehu","sequence":"additional","affiliation":[{"name":"Department of ENT, Hawassa University Comprehensive Specialized Hospital, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leul M.","family":"Manyazewal","sequence":"additional","affiliation":[{"name":"School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Dereje","family":"Bedada","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hawassa University Comprehensive Specialized Hospital, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.1179"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S295444"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/2435938"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tig.2017.06.004"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.02.095"},{"issue":"4","key":"e_1_3_3_7_2","first-page":"358","article-title":"Dextrocardia with situs inversus: a case report","volume":"22","author":"Adeyekun AA","year":"2003","unstructured":"Adeyekun AA, Onunu AN, Mazeli FO. Dextrocardia with situs inversus: a case report. West Afr J Med. 2003;22(4):358-360.","journal-title":"West Afr J Med"},{"issue":"4","key":"e_1_3_3_8_2","article-title":"Imaging findings in a case of situs inversus totalis","volume":"7","author":"Ramavathu KVM","year":"2021","unstructured":"Ramavathu KVM. Imaging findings in a case of situs inversus totalis. BJRCase Rep. 2021;7(4):20200202.","journal-title":"BJRCase Rep"},{"issue":"9","key":"e_1_3_3_9_2","article-title":"Incidental detection of situs inversus totalis during preoperative evaluation for thyroid cancer: a case report","volume":"17","author":"Sol\u00f3rzano CE","year":"2025","unstructured":"Sol\u00f3rzano CE, Leyva Matos O. Incidental detection of situs inversus totalis during preoperative evaluation for thyroid cancer: a case report. Cureus. 2025;17(9):e91991.","journal-title":"Cureus"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-015-0695-4"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.31729\/jnma.6825"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000003369"},{"key":"e_1_3_3_13_2","article-title":"Bridging the workforce gap in Ethiopian catheterization laboratories","volume":"5","author":"Teferi MG","year":"2025","unstructured":"Teferi MG, Tesfaye EA, Wolde AA, Gerer ND, Gashu AD, Mesfin AA. Bridging the workforce gap in Ethiopian catheterization laboratories. 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