PMC7322114_01
Abdominal CT scan. (A) Location of the cyst and the spleen in the pelvic area. (B) Location of the liver and stomach in the abdominal space.
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The CT scans (Figure 1) show that the liver was abnormally located in the abdominal midline (under normal circumstances, a large volume of the liver is located on the right side), and the biliary ducts and gallbladder were in their normal location without the presence of any stones. The aorta, pancreas, and kidneys were of normal size and in the normal locations, whereas the location of the appendix was not visible on the CT scan.
Photo taken during surgery, showing the position of the wandering spleen in the pelvic area.
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The appendix was seen in the RUQ (normally, the appendix is located in the RLQ), and a large, thrombosed cystic mass attached to the omentum (with a blood supply from the omentum; normally, the splenic artery is responsible for the blood supply to the spleen), twisted around its axis (clockwise), was seen (Figure 2).