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Abdominal Manifestations of Situs Inversus in Infants and Children

ERIC W. FONKALSRUD, MD; RONALD TOMPKINS, MD; H. WILLIAM CLATWORTHY JR., MD
Arch Surg. 1966;92(5):791-795. doi:10.1001/archsurg.1966.01320230139025.
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MIRROR image transposition of the body viscera occurs more commonly in infants and children than has previously been realized. Since more than half of the patients who are born with this anomaly have other major congenital malformations, it is important to recognize that this condition exists before operating on the other anomalies.1

The frequent association of cardiovascular malformations with situs inversus has been described previously, but scant attention has been directed to the intraabdominal anomalies.1,2

This report presents a review of 37 patients with situs inversus who have been treated at the Columbus Children's Hospital during the past 15 years. There were 29 who had other anomalies, a total of 72 major congenital malformations.

There were 15 patients who had major intraabdominal anomalies which required operative correction in the first few months of life. More than 85% of these lesions were surgically correctable. Two thirds of these 15

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