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X-ray abdomen showing few dilated bowel loops, paucity of distal gas shadow, and dextrocardia.
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Plain radiographs revealed dextrocardia, liver opacity on the left side of his abdomen, and a stomach bubble on the right side suggestive of situs inversus totalis (Figure 1). 
Multiple spleens in the upper-right quadrant along the greater curvature of the stomach.
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During the exploration, we also detected that our patient had twelve spleens of different sizes (Figure 2). 
Intra-operative view of the transparent membrane enclosing the small intestine.
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