"Missing organs": Where did they go?

Poster No.: C-0231

Congress: ECR 2010
Type: Educational Exhibit
Topic: Abdominal Viscera (Solid Organs)
Authors: M. A. Portilha, J. F. Costa, J. Brito, A. Costa, F. Caseiro-Alves;
Coimbra/PT
Keywords: situs, inversus, ambiguous
DOI: 10.1594/ecr2010/C-0231

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Learning objectives

Recognize situs anomalies in adults. Discuss the challenge of diagnosing disease

processes in patients with situs anomalies.

Background

Situs anomalies are often detected incidentally in adults during imaging evaluation for
unrelated conditions. Technical advances in sonography, computed tomography (CT),
and magnetic resonance (MR) imaging have greatly enhanced our ability to detect and
characterize these anomalies. Situs anomalies are rare, complex and confusing. More
common are ectopic organs with no relation to any heterotaxy syndrome.

Imaging findings OR Procedure details

In this exhibit, we briefly discuss the terminology and classification of situs anomalies
and present our clinical experience within the context of the radiology literature. The
authors also present different examples of ectopic organs with no relation to the more
important heterotaxy syndromes, which are frequently associated with an increased
risk of congenital heart disease, immune deficiency and catastrophic volvulus with
malrotation.

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Conclusion

Recognition of the spectrum of situs anomalies and their significance is important

because this information is crucial in diagnosing disease and planning interventional
procedures.

Personal Information

Maria Antónia Portilha

Hospitais da Universidade de Coimbra

Coimbra / PORTUGAL

References

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Winer-Muram HT, Tonkin ILD. The spectrum of heterotaxic syndromes. Radiol Clin North
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Ditchfield MR, Hutson JM. Intestinal rotational abnormalities in polysplenia and asplenia
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Winer-Muram HT. Adult presentation of heterotaxic syndromes and related complexes.

J Thorac Imaging 1995; 10: 43-57.

Winer-Muram HT, Tonkin ILD, Gold RE. Polysplenia syndrome in the asymptomatic adult:
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Hadar H, Gadoth N, Herskovitz P, Heifetz M. Short pancreas in polysplenia syndrome.

Acta Radiol 1991; 32: 299-301.

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