Dextrocardia with situs inversus: An incidental finding in a 9-year-old child

Dextrocardia is a cardiac positional anomaly, in which the heart is located in the right hemithorax with its base to apex axis directed to the right and caudad. The malposition is intrinsic to the heart and not caused by extracardiac abnormalities. This is a 9-year-old Nigerian female child who was referred for plain radiograph of the chest on account of recurrent episodes of cough and upper respiratory tract symptoms. The chest and upper abdominal radiograph showed dextrocardia with a right placed heart and gastric fundal gas beneath the right diaphragm. Complimentary abdominal ultrasound showed displaced spleen and stomach to the right with the liver displaced to the left, confirming the diagnosis of dextrocardia with situs inversus.