Review Article

Splenic Anomalies of Shape, Size, and Location: Pictorial Essay

Figure 9

Heterotaxy syndrome in 48-year-old male (a), (b) and 49-year-old female patients (c). Axial contrast enhanced CT images (a), (b) show polysplenia (white arrows) at left upper quadrant which have heterogenous enhancement pattern on arterial phase as splenic tissue, azygos continuation (black arrow) of the inferior vena cava, and right renal vein draining into the azygos vein (arrowhead). Intrahepatic portion of the inferior vena cava is absent. Axial contrast enhanced CT image (c) shows, polysplenia at right upper quadrant (white arrows), absence of spleen at its normal location, liver located at midline related to situs ambiguous, and dilated azygos vein (black arrow).
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