Also known as: Heart and organs on wrong side
A 26-year-old cosplay patient presents with an abdominal stab wound that causes excessive bleeding and loss of consciousness. The team discovers she has complete situs inversus, meaning all her organs are mirror-reversed, complicating the surgical approach and causing the dagger to penetrate her spleen.
Also known as: Ruptured spleen
The penetrating abdominal stab wound lacerates the patient's spleen, which is on the right side due to situs inversus, causing severe hemorrhage. The patient also has multiple accessory mini-spleens throughout the abdomen that complicate the surgery.
Also known as: Bleeding in the brain
The patient experiences loss of consciousness due to a clot that travels from her abdomen through her poorly-formed heart to her brain, causing a hemorrhagic event requiring craniotomy and blood drainage.
Also known as: Hole in the heart
As part of her congenital cardiac abnormalities, the patient requires triangular patch reconstruction of the ventricular wall during the multi-system surgery to repair her poorly-formed heart.
Helen's mother presents with a persistent cough and blood in her sputum, initially suspected to be lung cancer. After imaging at the clinic, it is diagnosed as severe bronchitis.