title: Right isomerism with complex cardiac anomalies presenting with dysphagia--a case report.
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.
authors.affiliation: Department of Radiodiagnosis, G.S.V.M Medical college, Swaroop Nagar, Kanpur, India.
authors.forename: Himanshu
authors.initials: H
authors.lastname: Agarwal
authors.forename: Shireesh Kumar
authors.initials: SK
authors.lastname: Mittal
authors.forename: Chaitanya D
authors.initials: CD
authors.lastname: Kulkarni
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Verma
authors.forename: Saurabh Kumar
authors.initials: SK
authors.lastname: Srivastava
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis*; D000293:Adolescent; D003680:Deglutition Disorders / Q000209:etiology; D003914:Dextrocardia / Q000175:diagnosis; D003952:Diagnostic Imaging; D004940:Esophageal Stenosis / Q000175:diagnosis; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis*; D059446:Heterotaxy Syndrome / Q000175:diagnosis; D006801:Humans; D008099:Liver / Q000002:abnormalities; D008297:Male; D011169:Portal Vein / Q000002:abnormalities