Situs inversus totalis (SIT) is a rare anomaly in which there is a reversal of abdominal and thoracic organs. The condition may come to light when affected patients who uncommonly have congenital heart disease (CHD), manifest with one. A case of a 10 year old boy with SIT and tetralogy of Fallot (TOF) that was complicated with cerebral abscess is presented. The successful management of the cerebral abscess and the presentation of the anomaly are highlighted.
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