Combination of Anatomical Anomalies: A Case Report

What is it about?

This case presents a 47-year-old female with abdominal CT findings of left isomerism (polysplenia syndrome) and associated anatomical variations. The patient had multiple spleen tissues instead of a normal spleen, a midline liver, a dilated azygos vein, interrupted inferior vena cava, retroaortic left renal vein, and colonic malposition. Additionally, dorsal pancreatic agenesis was observed. These findings are rare and significant due to their coexistence in a patient with left isomerism. Awareness of these specific imaging findings is crucial for diagnosis and proper evaluation of associated anomalies.

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Photo by taylor on Unsplash

Photo by taylor on Unsplash

Why is it important?

This case is important because it highlights the rarity and significance of multiple anatomical anomalies coexisting in a patient with left isomerism (polysplenia syndrome). Understanding and recognizing these specific imaging findings are crucial for accurate diagnosis and appropriate evaluation of associated anomalies. Radiologists need to be aware of the syndrome and its diverse manifestations to prevent complications and determine the need for surgical intervention. This case emphasizes the importance of a comprehensive understanding of anatomy and the potential complexities of congenital anomalies in clinical practice.