Computed Tomography Findings in a Case of Situs Ambiguous with Polysplenia: A Case Report
Keywords:
Congenital disease, Heterotaxy syndrome, Isomerism, Polysplenia
Abstract
Eternity has rightly established the fact that nature hates symmetry and to cite a perfect example of it, we present a
rare entity, situs ambiguous before you. Situs ambiguous is a congenital anomaly in which the major visceral organs are
distributed abnormally within the chest and abdomen. We report a case of a 44-year-old lady, presented to our casualty
department with waxing and waning pain abdomen and vomiting. Patient’s contrast-enhanced computed tomography
(CECT) was done which had features of left isomerism of heterotaxy syndrome. Our case describes about the findings of
situs ambiguous with polysplenia which is a rare entity. Early diagnosis by appropriate imaging modality results in reduction
of the fatal consequences.
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accessed on 2021 Jun 09].
2. Tortajada MM. Situs Ambiguous in a Schoolchild; 2009. Available from:
https://www.casereports.bmj.com/content/2009/bcr.07.2009.2071. [Last
accessed on 2021 Jun 11].
3. Barbara RR. A Case Report of Situs Ambiguous with Polysplenia and
Left Sided Isomerism; 2017. Available from: https://www.researchgate.
net/publication/313351754_A_case_report_of_situs_ambiguous_with_
polysplenia_and_left-_sided_isomerism. [Last accessed on 2021 Jun 11].
4. Applegate KE, Goske MJ. Situs Revisited: Imaging of the Heterotaxy
Syndrome; 1999. Available from: https://www.pubs.rsna.org/doi/10.1148/
radiographics.19.4.g99jl31837. [Last accessed on 2021 Jun 10].
5. Kim SJ. Heterotaxy Syndrome. US National Library of Medicine; 2011.
6. Shetty V, Paruthikunnan SM. A Rare Case of Heterotaxy Syndrome
Associated with Hepatolithiasis and Pre-duodenal Portal Vein; 2017.
Available from: https://www.jcdr.net/article_fulltext.asp?issn=0973-709x
and year=2017 and month=November and volume=11 and issue=11 and
page=TD04 and id=10905. [Last accessed on 2021 Jun 08].
7. Lama N, Maniatis P. (n.d.). A Rare Case of Situs Ambiguous in an Adult.
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2015-ijcri/CR-10567-11-2015-lama/ijcri-1056711201567-lama-full-text.
php.[Last accessed on 2021 Jun 11].
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