Mumbai: When a 51-year-old vegetable vendor from Raigad just lately got here to state-run JJ Hospital with continual belly ache that many native docs had not been in a position to remedy for nearly a 12 months, docs right here discovered a reasonably widespread trigger: Appendicitis.
What had made the analysis of Dagdu Shigvan‘s downside tough was a “uncommon” anomaly known as situs inversus totalis, a situation by which all of the organs are in reverse or in a mirror place from their authentic place. “His coronary heart, liver, abdomen, had been all on the other aspect,” stated Dr Ajay Bhandarwar, who heads the surgical procedure division of JJ Hospital in Byculla.
Shigvan had identified for just a few years that his coronary heart was on the “reverse aspect”. Throughout a scan he underwent in 2014 when he was first recognized with diabetes, docs in Mahad defined that his coronary heart was on the proper aspect.
“My ache began a 12 months again, however it was transient. 4 months again, it grew to become tough to bear,” stated Shigvan, who has been shifted to the overall ward after present process a minimally invasive appendix elimination surgical procedure on Friday.
Shigvan met a number of docs in and round his village in the previous couple of months, and whereas every week or so of medicine would make him really feel higher, the ache would return. “As we ran out of cash and hope, we determined to return to JJ Hospital in Mumbai final month,” stated his son Akshay. Right here too, Shigvan was put via a number of scans reminiscent of CT, MRI, ultrasound, however the docs could not pinpoint a trigger for the ache.
Given his completely different anatomy, the surgical procedure staff at JJ Hospital then recommended a laparoscopic exploration in order that docs may search for the ‘downside’ utilizing a digital camera whose photographs might be magnified a number of instances over. “The analysis confirmed his liver on the left higher stomach as an alternative of proper, abdomen was on the proper, and the appendix was on the left aspect,” stated Dr Bhandarwar.
What makes Shigvan a particular case is that he’s solely the third affected person within the historical past of JJ Hospital with a whole situs inversus totalis. The incidence of situs inversus totalis is 1 in 10,000 inhabitants.
“Often, we now have sufferers with dextrocardia (coronary heart on the proper aspect) or some with one or two transposed organs, however these three sufferers had a whole inversion,” stated Dr Bhandarwar. The opposite two sufferers with situs inversus totalis underwent elimination of appendix and gallbladder.