Right isomerism with complex cardiac anomalies presenting with dysphagia - A case report

Authors

  • HIMANSHU KUMAR AGARWAL
  • SHIREESH KUMAR MITTAL
  • CHAITANYA DATTATRAY KULKARNI
  • ASHOK KUMAR VERMA
  • SAURABH KUMAR SRIVASTAVA

DOI:

https://doi.org/10.3941/jrcr.v5i4.702

Keywords:

Ivemark Syndrome, Isomerism syndrome, asplenia, polysplenia, bilateral right sidedness

Abstract

Isomerism or Heterotaxy syndromes are rare multifaceted congenital anomalies with multi-system involvement. Grouped under the broad category of Situs Ambiguous defects, these often pose diagnostic difficulties due to their varied and confusing anatomy. Since patients rarely survive into adulthood due to cardiovascular complications, the etiology and natural history of such conditions are not fully understood. Imaging provides the most accurate non invasive method for diagnosis and thereby, prognosis in such cases. We present a case of right sided Isomerism with complex cardiac anomalies in a 17 year old adolescent, who presented with dysphagia as one of the main complaints. Multi modality imaging demonstrated the intricate abnormalities in vital systems.

Author Biographies

HIMANSHU KUMAR AGARWAL

Department of Radiodiagnosis,

Junior Resident

SHIREESH KUMAR MITTAL

Department of Radiodiagnosis,  

Head of Department

CHAITANYA DATTATRAY KULKARNI

Department of Radiodiagnosis,Junior Resident

ASHOK KUMAR VERMA

Department of Radiodiagnosis,

Lecturer

SAURABH KUMAR SRIVASTAVA

Department of Radiodiagnosis,Junior Resident

Published

2011-04-09

Issue

Section

General Radiology