case_images: PMC6159242_01
case_images: Demonstrating stomach on the right.
case_images: bjrcr.20150196.g001.jpg
case_images: PMC6159242_01_bjrcr.20150196.g001.jpg
case_images: f1
case_images: A barium examination localised the stomach in the right upper quadrant of the abdomen, on the same side as the liver (Figure 1).
case_images: A 2-h barium meal radiograph showing distended stomach with partial pyloric stenosis.
case_images: bjrcr.20150196.g002.jpg
case_images: PMC6159242_01_bjrcr.20150196.g002.jpg
case_images: f2
case_images: Ultrasound scan showing the SP adjacent to the LV. SP, spleen; LV, liver.
case_images: bjrcr.20150196.g003.jpg
case_images: PMC6159242_01_bjrcr.20150196.g003.jpg
case_images: f3
case_images: Complementary ultrasound examination localised the spleen (which showed no abnormality) and two other structures with the same appearance as the spleen in the right upper quadrant adjacent to the right kidney (Figure 3).
case_images: Contrast phase CT abdomen scan showing SM, LV and SP on the right. Arrow shows partial pyloric stenosis. SM, stomach; SP, spleen; LV, liver.
case_images: bjrcr.20150196.g004.jpg
case_images: PMC6159242_01_bjrcr.20150196.g004.jpg
case_images: f4
case_images: In addition, the spleen and the other structures with similar appearance as the spleen (suggesting multiple spleens) were found at the right side of the patient adjacent to the right kidney (Figure 4).
case_images: An axial free-breathing abdominal MRI scan showing multiple SPs and the RT. LV, liver; RT, right kidney; SP, spleen.
case_images: bjrcr.20150196.g005.jpg
case_images: PMC6159242_01_bjrcr.20150196.g005.jpg
case_images: f5
case_images: A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9).
case_images: A free breathing MRI Axial view showing further the relationship between the right kidney and a spleen.
case_images: bjrcr.20150196.g006.jpg
case_images: PMC6159242_01_bjrcr.20150196.g006.jpg
case_images: f6
case_images: A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9).
case_images: Showing the normal position of the LV and the GB. GB, gall bladder; LV, liver.
case_images: bjrcr.20150196.g007.jpg
case_images: PMC6159242_01_bjrcr.20150196.g007.jpg
case_images: f7
case_images: A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9).
case_images: T2 coronal MRI view showing fluid-filled SM with thicken pyloric wall (arrow). SM, stomach.
case_images: bjrcr.20150196.g008.jpg
case_images: PMC6159242_01_bjrcr.20150196.g008.jpg
case_images: f8
case_images: A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9). It also showed a thickened pyloric wall at the site of the repair and revealed the patient had multiple spleens (3) on the right (Figures 8 and 9).
case_images: A T2 coronal MRI view showing multiple spleens (*) adjacent to the SM. SM, stomach; LT, Left.
case_images: bjrcr.20150196.g009.jpg
case_images: PMC6159242_01_bjrcr.20150196.g009.jpg
case_images: f9
case_images: A post-operative MRI scan performed 5 months later confirmed the anomaly as described above (Figures 5-9). It also showed a thickened pyloric wall at the site of the repair and revealed the patient had multiple spleens (3) on the right (Figures 8 and 9).