Incidental discovery of asplenia syndrome, with situs inversus and a normal heart by radionuclide biliary imaging. A case report.
Tc-99m biliary imaging was performed on a 34-year-old woman who was being investigated for suspected cholelithiasis. A left-sided liver was detected. On subsequent radionuclide imaging, partial visceral situs inversus and asplenia were demonstrated. Extensive roentgenographic investigation, ECG, echocardiogram, and laparotomy confirmed the radionuclide findings. Asplenia syndrome may exist without cardiovascular abnormalities and thus be undiscovered. Radionuclide imaging is important in the diagnosis of this syndrome.
D000328:Adult; D001659:Biliary Tract / Q000000981:diagnostic imaging*; D002769:Cholelithiasis / Q000150:complications / Q000000981:diagnostic imaging; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging* / Q000502:physiology; D006801:Humans; D007098:Imino Acids; D011877:Radionuclide Imaging; D012857:Situs Inversus / Q000150:complications / Q000000981:diagnostic imaging*; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013577:Syndrome; D013667:Technetium; D019780:Technetium Tc 99m Lidofenin
D007098:Imino Acids; D019780:Technetium Tc 99m Lidofenin; D013667:Technetium