Background: Dextrocardia is a congenital disorder in which the heart is positioned toward the right side of the chest. The condition is present at birth, but in most cases, it is diagnosed incidentally. In some cases, dextrocardia can be an isolated finding. Other cases are associated with complete transposition of the viscera which is known as situs inversus totalis.
Case Presentation: We present a 57-year-old female with isolated dextrocardia along with colon cancer. She presented to the emergency department with bloody diarrhea and unintentional weight loss. Investigations revealed adenocarcinoma of the colon which the patient was treated for by laparoscopic total colectomy and end ileostomy. The patient was discharged 6 days later with no complications. Two weeks later, she presented to the emergency room with shortness of breath and chest pain. Diagnosis of pulmonary embolism was made and treatment with enoxaparin was started.
Conclusion: This case highlights the importance of adequate preoperative evaluation and how isolated dextrocardia in our patient did not change the surgical outcome.
Key words: Isolated dextrocardia, colon cancer, laparoscopic total colectomy, case report
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