PMC6159242_01
Demonstrating stomach on the right.
bjrcr.20150196.g001.jpg
PMC6159242_01_bjrcr.20150196.g001.jpg
f1
A barium examination localised the stomach in the right upper quadrant of the abdomen, on the same side as the liver (Figure 1).
A 2-h barium meal radiograph showing distended stomach with partial pyloric stenosis.
bjrcr.20150196.g002.jpg
PMC6159242_01_bjrcr.20150196.g002.jpg
f2
Ultrasound scan showing the SP adjacent to the LV. SP, spleen; LV, liver.
bjrcr.20150196.g003.jpg
PMC6159242_01_bjrcr.20150196.g003.jpg
f3
Complementary ultrasound examination localised the spleen (which showed no abnormality) and two other structures with the same appearance as the spleen in the right upper quadrant adjacent to the right kidney (Figure 3).
Contrast phase CT abdomen scan showing SM, LV and SP on the right. Arrow shows partial pyloric stenosis. SM, stomach; SP, spleen; LV, liver.
bjrcr.20150196.g004.jpg
PMC6159242_01_bjrcr.20150196.g004.jpg
f4
In addition, the spleen and the other structures with similar appearance as the spleen (suggesting multiple spleens) were found at the right side of the patient adjacent to the right kidney (Figure 4).
An axial free-breathing abdominal MRI scan showing multiple SPs and the RT. LV, liver; RT, right kidney; SP, spleen.
bjrcr.20150196.g005.jpg
PMC6159242_01_bjrcr.20150196.g005.jpg
f5
A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9).
A free breathing MRI Axial view showing further the relationship between the right kidney and a spleen.
bjrcr.20150196.g006.jpg
PMC6159242_01_bjrcr.20150196.g006.jpg
f6
A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9).
Showing the normal position of the LV and the GB. GB, gall bladder; LV, liver.
bjrcr.20150196.g007.jpg
PMC6159242_01_bjrcr.20150196.g007.jpg
f7
A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9).
T2 coronal MRI view showing fluid-filled SM with thicken pyloric wall (arrow). SM, stomach.
bjrcr.20150196.g008.jpg
PMC6159242_01_bjrcr.20150196.g008.jpg
f8
A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9). It also showed a thickened pyloric wall at the site of the repair and revealed the patient had multiple spleens (3) on the right (Figures 8 and 9).
A T2 coronal MRI view showing multiple spleens (*) adjacent to the SM. SM, stomach; LT, Left.
bjrcr.20150196.g009.jpg
PMC6159242_01_bjrcr.20150196.g009.jpg
f9
A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9). It also showed a thickened pyloric wall at the site of the repair and revealed the patient had multiple spleens (3) on the right (Figures 8 and 9).