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Bako ID, Mahamat H, Tinao H, Sako M, Nababa M, Djiga Y, Roufai NM, Issa NB, Amatkoul F, Sadi C, Habou I, Oumarou A, Akpovi A. [ Situs inversus associated with wandering spleen and common mesentery detected from medical imaging in Niamey (Niger): a case report]. Pan Afr Med J 2022; 43:144. [PMID: 36785695 PMCID: PMC9922086 DOI: 10.11604/pamj.2022.43.144.32397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 03/16/2022] [Indexed: 11/18/2022] Open
Abstract
Situs inversus is a rare anomaly characterized by mirror-image location of of thoracic and abdominal organs. It can be associated with several other malformations including common mesentery which is a rare type of malrotation that develops as a result of the rotation of the intestines and with wandering spleen which is a rare anomaly characterized by the unusual position of the spleen in the abdomen and that most often occurs in children. We here report the case of a male patient aged 8 years diagnosed with these three entities. He was admitted with chronic abdominal pain. Ultrasound assessment was performed. Clinical examination showed sensitive pelvic mass. Ultrasound objectified abnormal position of the liver and spleen (the liver in the left hypochondrium and the spleen in the right hypochondrium) and an oval isoechogenic mass characterized by tissue structures within the echo image in the spleen, located in the supravesical fossa, lateralized to the right. CT scan confirmed that the liver occupied both hypochondria, with the hilus and gallbladder found on the midline; the splenic fossa was empty and the supra-vesical pelvic mass was homogeneous, isodense to splenic parenchyma and raised in the same way to the spleen (it was a floating spleen), its arterial vascular pedicle was directly connected to the abdominal aorta. Intestinal rotation abnormality suggesting common mesentery was also objectified.
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Affiliation(s)
- Inoussa Daouda Bako
- Faculté des Sciences de la Santé, Université Abdou Moumouni de Niamey, Niamey, Niger,,Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger,Corresponding author: Inoussa Daouda Bako, Faculté des Sciences de la Santé, Université Abdou Moumouni de Niamey, Niamey, Niger.
| | - Hissene Mahamat
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Habiba Tinao
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Matallah Sako
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Malika Nababa
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Yasmina Djiga
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Nana Mariama Roufai
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Nana Bassira Issa
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Fatimata Amatkoul
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Cheffou Sadi
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Ibrahim Habou
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Aminou Oumarou
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
| | - Alexandre Akpovi
- Service de Radiologie de l´Hôpital Général de Référence de Niamey, Niamey, Niger
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