PMC7530230_01
This is the patient's CT scan in an axial plane, in which you can see a right sided stomach, and you can see the liver's edges on both the right on left side.
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The impression was that these features are suggestive of Polysplenia Syndrome/left isomerism (Fig. 1, Fig. 2).
Here is an intraoperative view, in which the liver, spleen, stomach and gallbladder are all seen on the right side of the abdomen.
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The intraoperative findings include a large fatty midline liver, a right sided stomach, with a spleen posterior to it (Fig. 3).
This is a water-soluble contrast study done one day post-operatively using gastrograffin meal showing no contrast leak.
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The stomach emptied well into the duodenum, showing no evidence of contrast leak post laparoscopic sleeve gastrectomy (Fig. 4, Fig. 5).