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Heterotaxy syndrome with intestinal malrotation, polysplenia and azygos continuity

Stéphanie Cupers, Christine Van Linthout, Brigitte Desprechins, Léon Rausin, Martine Demarche, Marie-Christine Seghaye
  • Stéphanie Cupers
    Department of Pediatrics, University Hospital Liège, Liège, Belgium
  • Christine Van Linthout
    Department of Gynecology and Obstetrics, University Hospital Liège, Liège, Belgium
  • Brigitte Desprechins
    Medical Imaging, University Hospital Liège, Liège, Belgium
  • Léon Rausin
    Department of Medical Imaging, Regional Hospital Center La Citadelle, Liège, Belgium
  • Martine Demarche
    Department of Surgery, Regional Hospital Center La Citadelle, Liège, Belgium
  • Marie-Christine Seghaye
    Department of Pediatrics, University Hospital Liège, Liège, Belgium | mcseghaye@chu.ulg.ac.be

Abstract

Heterotaxy syndrome is a situs anomaly that comprises a large spectrum of cardiac and extracardiac malformations. Its association with intestinal malrotation is frequent. This later might be asymptomatic or manifest by signs of abdominal discomfort or of intestinal obstruction. We report on the case of a full term, small for gestational age neonate in whom heterotaxy syndrome with partial situs inversus abdominalis, intestinal malrotation, polysplenia and vena azygos continuity was diagnosed at prenatal echography. Due to the high risk of volvulus carried by the malrotation, Ladd’s procedure was performed at the age of two months. Follow-up examination at the age of four years shows excellent post-operative result and normal development of the child.

Keywords

Heterotaxy; intestinal malrotation; azygos continuity.

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Submitted: 2017-07-11 20:20:58
Published: 2018-01-08 09:26:50
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Copyright (c) 2018 Stéphanie Cupers, Christine Van Linthout, Brigitte Desprechins, Léon Rausin, Martine Demarche, Marie-Christine Seghaye

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