Pneumoperitoneum in a patient with heterotaxy syndrome (left isomerism)

Discussion:

The patient underwent laparoscopy but the site of perforation was not identified. There were no plans to surgically correct the malrotation.

Left isomerism (also called polysplenism) is a type of heterotaxy syndrome characterized by multiple spleens, malposition of the abdominal viscera, abnormalities of the IVC, and cardiac abnormalities.

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