A new variant in the heterotaxy polysplenia syndrome

Authors

  • Bonifacio García Ramos Department of Digestive and Endocrine Surgery, High Specialty Medical Unit N.25, Mexican Social Security Institute (IMSS), Monterrey, Nuevo León, México
  • Mónica Angulo Trejo Department of Digestive and Endocrine Surgery, High Specialty Medical Unit N.25, Mexican Social Security Institute (IMSS), Monterrey, Nuevo León, México
  • Michael Vladimir Álamo Hernández Department of Digestive and Endocrine Surgery, Transplant Surgery (TecSalud), Tecnológico de Monterrey, Nuevo León, México
  • Ramiro Saavedra Milán Department of Digestive and Endocrine Surgery, High Specialty Medical Unit N.25, Mexican Social Security Institute (IMSS), Monterrey, Nuevo León, México; Department of Gastroenterology, General Zone Hospital N.2, Mexican Social Security Institute (IMSS), Monterrey, Nuevo León, México

DOI:

https://doi.org/10.18203/2349-2902.isj20242131

Keywords:

Heterotaxy, Polysplenia, Intestinal malrotation, Agenesis of the inferior vena cava, Adults

Abstract

Heterotaxy is a low incidence genetic disorder of multifactorial inheritance characterized by various abnormalities in the position of organs and vessels relative to the midline of the body. It is most often associated with fatal congenital heart defects at birth. As a result, only a small percentage of patients survive into adulthood. The following clinical case presents a female adult patient with abdominal pain secondary to choledocholithiasis. During the diagnostic workup, she was diagnosed with intestinal malrotation complicated by portal vein thrombosis, which later developed into portal hypertension. In addition to several anomalies (agenesis of the inferior vena cava with direct communication of the suprahepatic veins to the right atrium, polysplenia and shortening of the pancreas), a possible variant of heterotaxy syndrome was diagnosed.

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Published

2024-07-29

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Section

Case Reports