Adv Pediatr Surg.  2020 Dec;26(2):67-71. 10.13029/aps.2020.26.2.67.

Situs Inversus Totalis, Polysplenia and Annular Pancreas with Duodenal Obstruction: a Case Report of Bizarre Embryological Conundrum

• Pattanshetti S
• Peters NJ
• Samujh R

• KMID: 2525502
• DOI: http://doi.org/10.13029/aps.2020.26.2.67

Abstract

Situs inversus, polysplenia and annular pancreas are unusual anomalies individually, and are extremely rare in combination. A 3 years old boy presented with failure to thrive and symptoms of chronic upper gastrointestinal obstruction. After adequate radiological investigations, he was explored and managed with a duodeno-duodenostomy. and is doing well on a 1 year follow-up. The preoperative radiological assessment is of paramount importance, so as to avoid any intra-operative surprises.

Keyword

Polysplenia; Annular pancreas; Situs inversus; Heterotaxy