Anyone who knows the basics of physiology knows that the human heart is on the left side of the chest and the liver is on the right side of the abdominal cavity. However, there are no strangers in the world, and there are exceptions.
Once, a young woman in her twenties suddenly fainted to the ground during intramuscular injection. Several outpatient nurses were present and took her to the bed and informed the doctor on duty. After a few minutes, the doctor on duty arrived. The doctor on duty was also a young man. Faced with the same-aged woman, it was somewhat restrained, but it was more calm than the nurses because he thought the fainted person. It's just a common fainting. When he placed his stethoscope on the woman's left chest through his underwear, his face immediately became tense. He couldn't hear the heartbeat and tried the pulse again. He couldn't seem to touch it. The fledgling doctor panicked and had not had time. Check your breathing and blood pressure, and then order to be rescued. Send someone to call me.
I rushed to the scene and saw that the patient was pale, but I could see the slight ups and downs of the thorax. The patient's nose was slightly fanned, indicating that there was still breathing. They told me that the patient's blood pressure, breathing, and pulse have become normal, but the heartbeat can't be heard. This is strange. If the heartbeat can't hear, how can there be blood pressure and pulse? I was very surprised, so I took the sphygmomanometer and personally measured the blood pressure. It is true that as the young doctor said, although the blood pressure is a little low, but there is still blood pressure, I touched the patient's pulse, and the pulse is also there. Some are weak. I took off the stethoscope hanging around my neck and placed it on the left side of the patient's chest, but I couldn't hear the heartbeat. This unreasonable phenomenon made me frown slightly, my brain quickly passed all the possible diseases, but I could not find a disease that could correspond to this strange phenomenon, and from the mechanism analysis, I could not explain it. I patted the patient's face, the patient could blink his eyes and make a slight sound. On the surface, the patient seemed to have no major problems. The state of consciousness was between drowsiness and coma, except for the heartbeat. The signs are stable. To be on the safe side, I am going to give the patient a heart color ultrasound to find out the reason.
Just as the nurse was about to transfer it, all of a sudden, I was separated by translucent white underwear, and noticed that there were several symmetrical cherry black spots on the patient's chest. Out of professional sensitivity, I picked up her underwear and found that in addition to a pair of normal breasts and nipples, there were six extra nipples divided into two columns, symmetrically aligned in the direction of the armpits. This is a rare "secondary nipple". The secondary nipple, also known as polyemia, is caused by congenital dysplasia. From the 6th week of the embryo, 6-8 pairs of mammary gland origins from ectodermal epithelial tissue appear on the milk line (armpit to groin line). As the gestational age increases, 1 pair of superficial cells continue to develop in the chest. Except for the formation of the mammary gland, the rest gradually shrink and disappear. If it does not disappear, or even continue to develop, the formation of the accessory mammary gland. If both glandular tissue exists and nipple formation, it becomes a complete accessory breast. The accessory mammary gland is most common in the axilla, which is characterized by local bulging and may have a stunted papillary structure on the surface. The accessory mammary gland is not only affected by endocrine as well as normal breast, but also benign and malignant tumors. The probability of malignant tumors is significantly higher than that of normal breast tissue, so it is getting more and more attention in clinical practice.
I suddenly remembered one thing, almost subconsciously extending the stethoscope to her right chest, and immediately heard a clear and powerful heartbeat, proving that the heart is on the right side. This is understood, this is a right heart patient. . On the left side of the chest, the doctor on duty was separated from the underwear and the breast. It was not difficult to understand the heartbeat. Not to mention the noise around the people. It seems that the cause of the fainting is not a serious problem such as sudden cardiac arrest. Ordinary together with a fainting.
However, the matter did not end. The girl’s self-reported waking was even more amazing. It turned out that she was not only the right heart, but also a rare visceral all-inverse position. After-the-fact inspection confirmed her words. She has not only the heart in the right chest, but also the spleen and sigmoid colon in the right abdomen. The liver, cecum and appendix are on the left side of the abdomen. Just like the image in the mirror, her internal organs are just opposite to normal people. This is congenital formation. It is the result of an error in embryonic development. Although it is deformed, the functions of the internal organs and organs are exactly the same as those of ordinary people. There are no abnormalities, only rare locations are different. It should be noted that the incidence of right heart is only about one in 500,000 people. The visceral all-inverse person is even rarer. The literature reports that the right heart and the inversion person are mostly women, the reason is unknown, and often with the vice nipples. Other malformations occurred at the same time. I just thought from her vice nipple that she might be right-handed. Interestingly, after this incident, we kept in touch with her and regarded her as a teaching model for medical students. After that, she would have to visit every few years. She is also willing to give lectures to medical students.
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