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Case Report
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| A rare case of situs ambiguous in an adult | ||||||
| Niki Lama1, Petros Maniatis2, Dionisios Haralambos Antonatos3, Dimitrios Fagkrezos2, Charikleia Triantopoulou4, Ioannis Papailiou5 | ||||||
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1Resident, Radiology Department, Konstantopouleio General Hospital, Athens, Greece.
2Consultant, CT Department Konstantopouleio General Hospital, Athens, Greece. 3Consultant, Cardiology Department, Konstantopouleio General Hospital, Athens, Greece. 4Head of the Department, Radiology Department, Konstantopouleio General Hospital, Athens, Greece. 5Head of the Department, CT Department, Konstantopouleio General Hospital, Athens, Greece. | ||||||
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| How to cite this article |
| Lama N, Maniatis P, Antonatos DH, Fagkrezos D, Triantopoulou C, Papailiou I. A rare case of situs ambiguous in an adult. Int J Case Rep Images 2015;6(11):672–677. |
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Abstract
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Introduction:
As the use of imaging increases, congenital organs malposition is detected more frequently. In order to clarify the specific anatomical complexity and features, three major categories, based on the position of the heart and the viscera relative to the midline, have been described situs solitus, situs inversus and situs ambiguous.
Case Report: This is a case of a 59-year-old female presented to our hospital emergency room with dyspnea. Patient on clinical and radiological evaluation was diagnosed to have situs ambiguous with polysplenia and minor congenital heart malformations. Venous abnormalities, with double superior vena cava (SVC) and left inferior vena cava (IVC) were also present. Patient is currently asymptomatic and is on regular follow-up in our hospital, cardiology department. Conclusion: Developmental abnormalities unexpectedly found on imaging studies represent a radiological challenge. Careful analysis and understanding is mandatory, as anatomical miss arrangements can cause confusion in differential diagnosis and severe clinical implication during invasive procedures. | |
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Keywords:
Congenital anomalies, Situs ambiguous, Polysplenism
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Author Contributions
Niki Lama – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Petros Maniatis – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Dionisios Haralambos Antonatos – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Dimitrios Fagkrezos – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Charikleia Triantopoulou – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ioannis Papailiou – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Niki Lama et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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