Introduction.

Situs inversus is a rare condition in our midst, being a congenital alteration of embryonic development, that is characterized for mirror inversion of all even organs.

Clinical case.

44 years old patient who is hospitalized by the outpatient service in the hospital “Maternidad German Urquidi” for disease gestational trophoblastic, moderate anemia. During his hospitalization, complementary studies are requested which mostly of them report this pathology as a finding, with inversion of internal organs of the opposite side. This patient underwent surgery with total hysterectomy and bilateral salpingoophorectomy, his diagnosis was timely to avoid error in subsequent procedures.

Conclusion.

Early diagnosis is essential since the thoracic and abdominal surgical approach is different. Certain pathologies may occur with unusual clinic. Also it can be studied the presence of associated alteration between them the primary ciliary dyskinesia. (Katagener syndrome).