Case presentation A 66-year-old male patient presented to the Emergency Department (ED) of a hospital with a 3-day history of cough, congestion, and pain in his chest and left abdomen. Several months prior to the presentation at ED, the patient had immigrated to a different country after staying in a refugee camp for a period of 20 years. Physical examination The patient’s heart sounds were best heard on the right side of the chest. On palpation, tenderness was observed in the costochondral joints and the left upper quadrant.
Electrocardiogram analysis Deviation in the right axis Reverse precordial R-wave progression Inverted P waves in leads I, aVL, and aVR The chest radiograph and the abdominal CT scan images are attached for your reference (Figures 1A and 1B). What is the most probable diagnosis for this patient? Kartagener syndrome Cardiac dextroposition Situs inversus totalis…
