Case Report

Heterotaxy syndrome – An unusual cause for bowel obstruction in an adult

Radhiya Minty, Tanaka Gomba, Rabia Abid
South African Journal of Radiology | Vol 28, No 1 | a2831 | DOI: https://doi.org/10.4102/sajr.v28i1.2831 | © 2024 Radhiya Minty, Tanaka Gomba, Rabia Abid | This work is licensed under CC Attribution 4.0
Submitted: 06 December 2023 | Published: 30 May 2024

About the author(s)

Radhiya Minty, Department of Radiology, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa
Tanaka Gomba, Department of Radiology, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa
Rabia Abid, Department of Radiology, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa

Abstract

Heterotaxy syndrome, also known as situs ambiguous, is a spectrum of pathology due to loss of the normal right-to-left asymmetry of the thoraco-abdominal organs. This report describes the case of a 39-year-old female, previously well, who presented with bowel obstruction. CT showed features of left isomerism, with malrotation and volvulus.

Contribution: Heterotaxy syndrome consists of cardiac and non-cardiac manifestations. Imaging studies play a crucial role in the individualised management of the patient.


Keywords

heterotaxy; polysplenia syndrome; left isomerism; situs ambiguous; bowel obstruction

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