Clin Surg | Volume 6, Issue 1 | Case Report | Open Access

Flipped and Twisted - Situs Inversus Totalis with Cecal Volvulus

Muzna Iftikhar*, Mahvish Noor, Hira Munir, Anmol Fatima and Inamullah Shah

Department of Surgery, Foundation University Islamabad, Pakistan

*Correspondance to: Muzna Iftikhar 

Fulltext PDF


Situs inversus totalis is an uncommon congenital anomaly resulting in ‘flipping’ of intra-abdominal and intrathoracic organs. It occurs in only 0.01% to 0.02% of live births and poses a diagnostic challenge for abdominal emergencies. We describe a rare case of intestinal obstruction in an adult patient of situs inversus, due to cecal volvulus twisted on its long mesentery with a spleniculus acting as pivot. Literature review regarding etiology, evaluation and management of situs inversus and cecal volvulus is presented.


Situs inversus totalis; Cecal volvulus; Intestinal obstruction


Iftikhar M, Noor M, Munir H, Fatima A, Shah I. Flipped and Twisted - Situs Inversus Totalis with Cecal Volvulus. Clin Surg. 2021; 6: 3258..

Subscribe to Our Newsletter