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BackIt was revealed that all the internal organs of the 54-year-old patient were in reverse position.
It was revealed that all the internal organs of the 54-year-old patient were in reverse position.
Health
Cumhuriyet1 hour agoHealth3 min readTürkiyeView original

It was revealed that all the internal organs of the 54-year-old patient were in reverse position.

It was determined that Muzaffer Uzunbacak, who was admitted to the hospital in Samsun due to intestinal disease, had 'situs inversus totalis', which is seen once in 10 thousand.

Quick Look

  • It was determined that all internal organs of 54-year-old Muzaffer Uzunbacak, who applied to Samsun with the complaint of an intestinal mass, were located opposite to normal (situs inversus totalis).
  • The patient regained his health after a successful surgery and was discharged.

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Why It Matters

Situs inversus totalis is the condition in which the normal anatomical location of the internal organs is on the opposite side, as a mirror image. It is a rare anatomical variation that is congenital and is seen approximately once in 10 thousand.

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54-year-old Muzaffer Uzunbacak, who worked as a construction worker, learned that his heart was on the right side when his workplace asked for a health report when he was 26 years old. In the examinations of Uzunbacak, who was admitted to the hospital due to intestinal problems years later, it was determined that his other internal organs, apart from his kidneys and lungs, were located opposite to normal.

General Surgery Specialist Assoc. Dr. Uzunbacak, who was taken into surgery after the examinations performed by Kerim Güzel, got rid of the mass in his intestines with the operation planned according to the different placement of his organs. The unusual placement of the patient's organs during the surgery surprised the doctors. Uzunbacak, who was found to be in good health after the successful operation, said that he would definitely inform the doctors that his organs were inverted in his future health applications.

"THE DOCTOR SAID, 'DO YOU HAVE NO HEART?'"

Stating that he learned that his heart was on the right side at the age of 26 and that all his organs were reversed at the age of 54, Muzaffer Uzunbacak said, "I came to Samsun with the diagnosis of a mass in the intestine. I am 54 years old. I learned that my heart was on the right side at the age of 26. I work in construction. While I was working in Eskişehir, they asked us for a health report and a heart x-ray. During the examination there, they said that my heart was on the right side. I had an ECG several times before, but the doctors did not accept it. Even a doctor, "You don't have a heart?" He said, "When I looked at the right side, my other organs were on the opposite side. I learned here that my other organs were on the opposite side. I feel good now."

"A CONDITION THAT IS SEEN ONE IN 10 THOUSANDS AND TO WHICH SURGEONS ARE NOT USED TO"

General Surgery Specialist Assoc. Prof. talked about the clinical characteristics of the patient and the difficulty of the surgery. Dr. Kerim Güzel said, "Our patient Mr. Muzaffer applied to us for surgery. They diagnosed colon cancer at an external center. However, we encountered a very rare incident. Normally, the patient's heart is on the right, while its normal location should be on the left, the heart is on the right, the liver should be on the right, the gallbladder should be on the right, both are on the left, and the spleen, which should be on the left, is on the right. This is very important for us. It is very important to know this before the surgery. This is called 'situs inversus totalis'. It is an abnormal, congenital condition. It occurs in one in 10,000 people. We need to plan our surgery accordingly, because the beginning of the large intestine should be on the left. Since we will be intervening at the beginning of the large intestine, we need to prepare for the surgery accordingly. It is a difficult process, a difficult surgery. Since most surgeons are accustomed to normal anatomy, our eyes are very rare. "It can be a little difficult for us to adapt to it when we encounter it. Because we performed a laparoscopic surgery on our patient, all the organs were in the opposite direction as we thought. Today is the 4th day. Our patient is healthy and we are discharged today."

"WE HAVE NEVER SEEN A PATIENT WITH THIS MUCH DISPLACED ORGAN, THIS IS THE FIRST TIME WE HAVE ENCOUNTERED IT FOR THE FIRST TIME"

Assoc. Prof. emphasized that most of the patient's internal organs were in the opposite direction than they should be. Dr. Güzel said, "At the next level, we advised our patient: 'Tell the doctor about your situation wherever you go'. Because this is very important in terms of giving direction to the doctor when something happens to you. Because the liver is on the left, not the right, the spleen is on the right, not on the left, the heart is on the right, not on the left. It will be very important for the healthcare team to know this in terms of the treatment of the patient, in case of sudden intervention. We have not seen so many patients with the location of organs changed in total. We were seeing patients with different intestinal locations. But we had one or two patients like that." "This is the first time in my medical life that we have encountered situs inversus totalis, that is, a complete organ change," he said.

Uzunbacak, whose treatment was performed according to the location of his organs, was discharged from the hospital as of today.

Open Questions

  • Will this have an additional impact on the patient's long-term quality of life?

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This article was originally published by Cumhuriyet.

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