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CT Axial view: "Total Situs Inversus" demonstrating the right renal vein draining into the left-sided Vena Cava.
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The preoperative imaging computed tomography revealed a "total situs inversus" with the right kidney with a single long right renal vein draining into a left-sided vena cava and a single short right renal artery behind the renal vein (Fig. 1).
CT Coronal view: "Total Situs Inversus" with the apex of the heart and stomach on the right, and liver on the left.
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Decision was made to perform a right nephrectomy to take advantage of the longer renal vein on the right side in this particular anatomic situation (Fig. 2).