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Many people with situs inversus totalis are unaware of their unusual anatomy until they seek medical attention for an unrelated condition, such as a rib fracture or a bout of appendicitis.The condition may also be discovered during the administration of certain medicines or during tests such as a Barium meal or enema.This is more likely to cause medical problems than situs inversus totalis.

Situs inversus also complicates organ transplantation operations as donor organs will more likely come from situs solitus (normal) donors.

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As hearts and livers are chiral, geometric problems arise placing an organ into a cavity shaped in the mirror image.

For example, a person with situs inversus who requires a heart transplant needs all the vessels to the transplant donor heart reattached to their existing ones.

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