COVID-19 pneumonia with situs ambiguous (polysplenia syndrome type)

Case contributed by Bahman Rasuli

Presentation

Fever and sudden-onset dyspnea.

Patient Data

Age: 45 years
Gender: Female

The cardiac apex is on the left

The transverse liver is noted with stomach on the right

Multiple spleens on the right

Interruption of IVC with azygous continuation

Multilobar and bilateral ground‐glass opacities in both lungs, mostly in mid to lower lungs,  with a peripheral subpleural distribution

No pleural effusion

No mediastinal lymphadenopathy.

Case Discussion

This is a case of heterotaxy syndrome in a patient with positive RT-PCR testing for COVID-19.

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