case_images: PMC4894734_01
case_images: Chest radiograph shows in the lower zone bronchiectasis changes (white star), dextrocardia (blue arrow) and right-sided gastric bubble (white arrow)
case_images: PAMJ-23-159-g001.jpg
case_images: PMC4894734_01_PAMJ-23-159-g001.jpg
case_images: F0001
case_images: She presents a dextrocardia (Figure 1).
case_images: Electrocardiogram showed inverted "P" waves in L1 and AVL on left-sided chest leads
case_images: PAMJ-23-159-g002.jpg
case_images: PMC4894734_01_PAMJ-23-159-g002.jpg
case_images: F0002
case_images: Electrocardiogram (ECG) showed inverted "P" waves in L1 and AVL on left-sided chest leads (Figure 2).
case_images: HRCT of the chest in parenchymal window and in axial section reveals bronchiectasis and dextrocardia
case_images: PAMJ-23-159-g003.jpg
case_images: PMC4894734_01_PAMJ-23-159-g003.jpg
case_images: F0003
case_images: High resolution computed tomography (HRCT) chest revealed bronchiectasis changes, CT abdomen confirmed situs inversus, and the sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side (Figure 3, Figure 4, Figure 5). in laboratory work-up, hemogram was normal, no anomaly in the protein electrophoresis, reactive protein C was normal, antinuclear antibody, antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor, HIV serology were negative.
case_images: CT abdomen in axial section without contrast injection, shows situs inversus totalis with liver in the left side and spleen in the right side
case_images: PAMJ-23-159-g004.jpg
case_images: PMC4894734_01_PAMJ-23-159-g004.jpg
case_images: F0004
case_images: High resolution computed tomography (HRCT) chest revealed bronchiectasis changes, CT abdomen confirmed situs inversus, and the sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side (Figure 3, Figure 4, Figure 5). in laboratory work-up, hemogram was normal, no anomaly in the protein electrophoresis, reactive protein C was normal, antinuclear antibody, antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor, HIV serology were negative.
case_images: Sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side
case_images: PAMJ-23-159-g005.jpg
case_images: PMC4894734_01_PAMJ-23-159-g005.jpg
case_images: F0005
case_images: High resolution computed tomography (HRCT) chest revealed bronchiectasis changes, CT abdomen confirmed situs inversus, and the sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side (Figure 3, Figure 4, Figure 5). in laboratory work-up, hemogram was normal, no anomaly in the protein electrophoresis, reactive protein C was normal, antinuclear antibody, antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor, HIV serology were negative.
case_images: ENT exam shows nasal polyposis
case_images: PAMJ-23-159-g006.jpg
case_images: PMC4894734_01_PAMJ-23-159-g006.jpg
case_images: F0006
case_images: Ear microscopic examination and the audiogram were normal (Figure 6).