PMC6159280_01
Axial non-contrast CT scan showing the gallbladder (white arrow), which is facing anteriorly.
bjrcr.20150426.g001.jpg
PMC6159280_01_bjrcr.20150426.g001.jpg
f1
The liver appeared to be malrotated in situ, with the inferior surface and the gallbladder facing anteriorly (Figure 1).
Axial non-contrast CT scan showing the stomach (black arrow) and the spleen (black star) on the left side.
bjrcr.20150426.g002.jpg
PMC6159280_01_bjrcr.20150426.g002.jpg
f2
The left atrium, spleen and stomach were located on the left (Figure 2) and the right atrium and liver on the right side, with the cardiac apex pointing towards the left side (Figure 3).
Axial non-contrast CT scan showing the cardiac apex (vertical red arrow) directed towards the left and the large intestine (C) with colonic air (white arrow) in a non-dependent position. The aorta (black star) and the posterior border of the liver (horizontal black arrow) are also seen.
bjrcr.20150426.g003.jpg
PMC6159280_01_bjrcr.20150426.g003.jpg
f3
The left atrium, spleen and stomach were located on the left (Figure 2) and the right atrium and liver on the right side, with the cardiac apex pointing towards the left side (Figure 3).
Axial non-contrast CT scan showing the abdominal aorta (black arrow), spleen (S), portal vein (white arrow) and liver (black star). A noteworthy feature is the absence of the inferior vena cava from its normal anatomical position.
bjrcr.20150426.g004.jpg
PMC6159280_01_bjrcr.20150426.g004.jpg
f4
There was a single spleen, which was normal in size and position (Figure 4).
Axial non-contrast CT scan showing the abdominal aorta (A) and the normal position of the inferior vena cava (black arrow), which is empty owing to the absence of the inferior vena cava from its normal anatomical position. The crura of the diaphragm (white arrows), and the liver (L) and spleen (S) are also seen.
bjrcr.20150426.g005.jpg
PMC6159280_01_bjrcr.20150426.g005.jpg
f5
Another interesting finding was the abnormal position of the inferior vena cava, which was not seen on the right side of the abdominal aorta (Figure 5).