Primigravida with 40 Weeks of Gestation with SeverePreeclampsia with Dextro Cardia and SitusInversus: An Unusual Case Report

We present a 19yr old Primi Gravida with 40 weeks of gestation was referred to labour room Women & Children Hospital, affiliated to J.J.M.M.C, Davangere in view of high blood pressure for further management. She had ANC's in a nearby PHC. Her past medical history was not significant and general physical examination revealed severe PE, an apex beat located on 5^th right intercostals space, suspected dextrocardia. Caesarean section was done in view of severe PE with Unfavourable cervix. During post-partum period, chest radiograph confirmed dextrocardia and also revealed the gastric air bubble on right side which suggestive of situs inversus totalis. Abdominal ultrasonography revealed a left sided liver, gall bladder with a right side location of spleen, aorta, and inferior venecava relationship altered.