April 2011

There is a fluid and air filled structure caudal to the right liver lobe

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Clinical information

Female neonate 1 day old
Abnormal findings during prenatal ultrasound screening

Ultrasound Images & Clips

Abnormal structure caudal to the liver

There is a fluid and air filled structure caudal to the right liver lobe

Large fluid filled structure in the right upper abdomen

Longitudinal view of the same structure

Next to the air and fluid filled structure is round solid lesion next to the right adrenal which is normal

Detail of the same structure

The right adrenal is normal The round structure lies next to the air and fluid containing structure

The solid structure is vascularized

There is a smaller round structure between the right liver lobe and the right kidney

Next to it are 2 even smaller similar looking structures

Conclusion

The abnormal position of the stomach and the polysplenia can be part of a group of anomalies referred to as polysplenia syndrome which can be a manifestation of heterotaxy. The patient was referred to a childrens hospital to rule out other abnormalities. No cardiac abnormalities were found. The patient will be followed up.

References
Congenital anomalies of the spleen. Gayer G, Hertz M, Strauss S, Zissin R. Semin Ultrasound CT MR. 2006 Oct;27(5):358-69. Review.

Abdominal sonography in the evaluation of heterotaxy in children. Oleszczuk-Raschke K, Set PA, von Lengerke HJ, Tröger J.Pediatr Radiol. 1995 Nov;25 Suppl 1:S150-6.

Heterotaxy syndrome in an adult, with polysplenia, visceral and cardiovascular malposition.
Vanhoenacker FM, De Ruysscher D, De Backer AI, De Schepper AM.
JBR-BTR. 2001 Feb;84(1):1-4.

Details

Sex: Female

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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